Individual
SINA NMI SANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
117 WATSON ST, RIPON, WI 54971-1326
(715) 602-0414
(319) 219-4115
Mailing address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-4200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14169
WI
Other
Enumeration date
06/02/2023
Last updated
08/28/2024
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