Individual provider · Type 1 NPI

Sinu Paulose, APRN

Family Nurse Practitioner · Kenosha, WI

NPI number 1417411307 Active

Practice location

8207 22nd Ave
Kenosha, WI 53143-6206

Mailing address

3819 Grace Ln
Glenview, IL 60025-1230

Other practice locations

  • 3819 Grace Ln, Glenview, IL 60025-1230 · (224) 659-4920

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209018690 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1417411307

Sinu Paulose, APRN's National Provider Identifier is 1417411307, issued on Jan 25, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kenosha, WI. The record was last updated on Dec 18, 2024.