Individual
TERESA ANNE SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CNP
Contact information
Practice address
N20W22961 WATERTOWN RD, WAUKESHA, WI 53186-1306
(262) 875-5070
(866) 384-9486
Mailing address
403 STAGELINE RD, SUITE 250, HUDSON, WI 54016-7848
(651) 772-6251
(651) 224-9661
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4689-33
WI
363LF0000X
Family Nurse Practitioner
R1515154
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135413
UCARE
MN
01
—
1356320055
MEDICA
MN
05
—
482426100
—
MN
01
—
899771045344
PREFERRED ONE
MN
Enumeration date
01/11/2006
Last updated
11/01/2023
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