Ebsen, Sara
Ebsen, Sara is an individual health care provider with primary practice located at 1284 N Summit Ave , Oconomowoc WI 53066-4459. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ebsen, Sara can be contacted via phone (262) 560-3700.Contact Information
Primary practice address
1284 N Summit Ave
Oconomowoc WI 53066-4459
Phone: (262) 560-3700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 13424-033 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 232463 | Wisconsin |
Profile Details
| NPI number | 1740918754 |
|---|---|
| LBN Legal business name | Ebsen, Sara |
| Credentials | AGPCNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2022 |
| Last updated | Jun 12th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740918754 | NPPES |
| Wisconsin | MEDICAID | 1740918754 |
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