Individual
SARA K QUATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER, BROOKFIELD, WI 53005-4977
(262) 432-6600
(262) 432-6604
Mailing address
13800 W NORTH AVE, CHILD DEVELOPMENT CENTER, BROOKFIELD, WI 53005-4977
(262) 432-6600
(262) 432-6604
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
152427
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750513537
—
WI
Enumeration date
08/13/2009
Last updated
11/12/2012
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