Individual
SARAH REVEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-4660
Mailing address
PO BOX 2170, MANITOWOC, WI 54221-2170
(920) 320-2591
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6438
WI
Other
Enumeration date
07/03/2015
Last updated
07/03/2015
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