Individual provider · Type 1 NPI
Sara Jamal Fairaq, APNP
Acute Care Nurse Practitioner · Milwaukee, WI
NPI number
1417527862
Active
Practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Fax (414) 955-6211
Mailing address
11011 W North Ave Apt 446
Wauwatosa, WI 53226-2274
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 1060033 (WI) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1417527862
Sara Jamal Fairaq, APNP's National Provider Identifier is 1417527862, issued on Jun 28, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 8, 2021.