Individual
SABRINA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4855 S MOORLAND RD, NEW BERLIN, WI 53151-7494
(262) 432-7599
Mailing address
504 MIDGE ST, JOHNSON CREEK, WI 53038-1203
(503) 812-5146
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
16258-33
WI
Other
Enumeration date
12/07/2024
Last updated
04/17/2025
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