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Individual

MRS. SARAH L ELLIOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-C

Contact information

Practice address
200 W SUMMIT AVE STE 290, WALES, WI 53183-9427
(844) 726-3926
(844) 726-3926
Mailing address
150 S HUNTINGTON AVE, VA BOSTON HEALTHCARE SYSTEM (C&P/11), BOSTON, MA 02130-4817
(857) 364-5569
(857) 364-6016

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
135512-30
WI
363LF0000X
Family Nurse Practitioner
Primary
7556-33
WI
363LF0000X
Family Nurse Practitioner
CNP151175
ME

Other

Enumeration date
11/23/2015
Last updated
02/21/2023
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