Sarah Jane Stinemates, LPN

Individual provider Active NPI Licensed Practical Nurse · Omro, WI

NPI 1124410923 · NPPES record last updated Mar 3, 2015

Key facts

NPI
1124410923
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
33746-31 (WI)
Practice address
441 Willow St
Omro, WI 54963-1148
Phone
(920) 642-0685
NPI assigned
Mar 3, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
33746-31WIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 33746-31 WI Yes

Addresses

Primary practice location

441 Willow St
Omro, WI 54963-1148

Mailing address

441 Willow St
Omro, WI 54963-1148

Other names

  • Ms. Sarah Jane Stinemates Former name

Other providers in Omro, WI

All providers in Omro, WI · Licensed Practical Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.