Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 7992 | WI |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 7992 | WI |
NPI | 1518486174 |
---|---|
Provider Name | Ms. Sarah Tybring |
First Address | Milwaukee, WI 53226-3522 |
Second Address | Milwaukee, WI 53226-3522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2017 |
Last Update Date | 17/03/2018 |