Individual
KATIE LOUISE SARBACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
725 CANOPY DR APT 305, ROUND LAKE, IL 60073-5823
(608) 417-9017
Mailing address
725 CANOPY DR APT 305, ROUND LAKE, IL 60073-5823
(608) 417-9017
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
229940
WI
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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