Individual provider · Type 1 NPI

Sabrina Marie Smith

Pediatric Nurse Practitioner · New Berlin, WI

NPI number 1710793450 Active

Practice location

4855 S Moorland Rd
New Berlin, WI 53151-7494

Mailing address

504 Midge St
Johnson Creek, WI 53038-1203

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X16258-33 (WI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1710793450

Sabrina Marie Smith's National Provider Identifier is 1710793450, issued on Dec 7, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New Berlin, WI. The record was last updated on Apr 17, 2025.