Individual
SARAH DEHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
223 S FAIR OAKS AVE, MADISON, WI 53704-5860
(608) 609-4785
Mailing address
223 S FAIR OAKS AVE, MADISON, WI 53704-5860
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
318197
WI
Other
Enumeration date
11/15/2014
Last updated
11/15/2014
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