Individual
SARAH OBERHOLTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1130 COLLINS RD, JEFFERSON, WI 53549-2939
(872) 231-3162
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
13979-33
WI
363LG0600X
Gerontology Nurse Practitioner
209.027343
IL
Other
Enumeration date
10/23/2023
Last updated
10/03/2025
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