Sandralee S Quade
Nurse Practitioner - Adult Health
1080 W Fond Du Lac St
Ripon
, Wisconsin 54971-9286
Sandralee S Quade
Nurse Practitioner - Adult Health
1080 W Fond Du Lac St
Ripon
, Wisconsin 54971-9286
(920) 748-7000
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Sandralee S Quade
- 1080 W Fond Du Lac St
- Ripon, WI
- Zip : 54971-9286
- Phone : (920) 748-7000
Second Address
- Sandralee S Quade
- 1080 W Fond Du Lac St
- Ripon, WI
- Zip : 54971-9286
- Phone : (920) 748-7000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 4819 | WI |
National Provider Identifier
| NPI | 1013274356 |
|---|---|
| Provider Name | Sandralee S Quade |
| First Address | Ripon, WI 54971-9286 |
| Second Address | Ripon, WI 54971-9286 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2012 |
| Last Update Date | 24/10/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1013274356 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.