Sarah Kroll, RN

Individual provider Active NPI Registered Nurse · Little Chute, WI

NPI 1366086050 · NPPES record last updated Nov 5, 2019

Key facts

NPI
1366086050
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
199611 (WI)
Practice address
621 Taylor St
Little Chute, WI 54140-1918
Phone
(920) 213-3423
NPI assigned
Nov 5, 2019
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
199611WIMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse
Group: 193400000X SINGLE SPECIALTY GROUP
163W00000X 199611 WI Yes

Addresses

Primary practice location

621 Taylor St
Little Chute, WI 54140-1918

Mailing address

621 Taylor St
Little Chute, WI 54140-1918
Phone (920) 213-3423

Other providers in Little Chute, WI

All providers in Little Chute, WI · Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.