Sara C Poupore
Nurse Practitioner
1640 E Sumner St
Hartford
, Wisconsin 53027-2684
Sara C Poupore
Nurse Practitioner
1640 E Sumner St
Hartford
, Wisconsin 53027-2684
(414) 352-3100
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Sara C Poupore
- 3003 W Good Hope Rd
- Milwaukee, WI
- Zip : 53209-2042
- Phone : (414) 352-3100
Second Address
- Sara C Poupore
- 1640 E Sumner St
- Hartford, WI
- Zip : 53027-2684
- Phone : (262) 670-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4867 | WI |
National Provider Identifier
| NPI | 1003177429 |
|---|---|
| Provider Name | Sara C Poupore |
| First Address | Milwaukee, WI 53209-2042 |
| Second Address | Hartford, WI 53027-2684 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2012 |
| Last Update Date | 27/07/2012 |
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.