Doctor Name: | SANDRA SARGENT |
NPI Number: | 1417320698 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 6426-33 |
Business Practice Address: | 806 2nd St Chetek, WI - 547282800 |
Business Phone Number: | 7159242000 |
Business Fax Number: | |
Mailing Address: | 806 2nd St, CHETEK |
State: | WI |
Postal Code: | 547282800 |
Phone Number: | 7159242000 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2015 |
NPI Last Update Date: | 11/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 6426-33 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |