Individual provider · Type 1 NPI

Sara Ebsen, AGPCNP-BC

Nurse Practitioner · Summit, WI

NPI number 1740918754 Active

Practice location

36500 Aurora Dr
Summit, WI 53066-4899

Fax (262) 434-7950

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Other practice locations

  • 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 · (414) 805-6850

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X13424-033 (WI)
Primary Care Nurse Practitioner 363LP2300X232463 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1740918754

Sara Ebsen, AGPCNP-BC's National Provider Identifier is 1740918754, issued on Aug 9, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Summit, WI. The record was last updated on Apr 28, 2026.