Individual
MS. SARA JAMAL FAIRAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0506
(414) 955-6211
Mailing address
11011 W NORTH AVE APT 446, WAUWATOSA, WI 53226-2274
(414) 949-0082
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1060033
WI
Other
Enumeration date
06/28/2021
Last updated
07/08/2021
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