Provider Demographics
NPI:1972209492
Name:NEMETZ, SARA J (MSN, FNP-BC, APNP)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:J
Last Name:NEMETZ
Suffix:
Gender:F
Credentials:MSN, FNP-BC, APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8664 W NORTH WOODS TRL
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:WI
Mailing Address - Zip Code:54843-6522
Mailing Address - Country:US
Mailing Address - Phone:262-749-4364
Mailing Address - Fax:
Practice Address - Street 1:10411 STATE ROAD 27
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:WI
Practice Address - Zip Code:54843
Practice Address - Country:US
Practice Address - Phone:715-793-0610
Practice Address - Fax:715-793-0611
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1355633363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily