Individual
MS. SADE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2624 W MEDFORD AVE, MILWAUKEE, WI 53206-1027
(414) 510-7045
Mailing address
2624 W MEDFORD AVE, MILWAUKEE, WI 53206-1027
(414) 510-7045
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
00131645
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000000004701983
—
WI
Enumeration date
11/22/2022
Last updated
11/22/2022
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