Individual
SARAH KATHERINE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
912 S HICKORY ST, FOND DU LAC, WI 54935-5530
(920) 907-3922
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
143239
WI
363LF0000X
Family Nurse Practitioner
Primary
967333
WI
Other
Enumeration date
10/28/2019
Last updated
11/10/2020
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