Individual
SARA J ANDERSON-KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
(608) 824-4956
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9754
WI
363LF0000X
Family Nurse Practitioner
209.007242
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902057052
—
WI
Enumeration date
10/07/2008
Last updated
10/20/2023
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