Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 10928-33 | WI |
NPI | 1023288016 |
---|---|
Provider Name | Sara Feist |
First Address | Madison, WI 53705-2254 |
Second Address | Madison, WI 53705-2254 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2008 |
Last Update Date | 25/05/2021 |