Individual
SARA L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC, APNP
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3581
(920) 433-3500
(920) 445-7301
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
8947-33
WI
363LN0005X
Critical Care Neonatal Nurse Practitioner
8947-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104423020
NATIONAL CERTIFICATION CORPORATION
—
05
—
1699062042
—
WI
Enumeration date
07/06/2011
Last updated
03/08/2024
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