Individual provider · Type 1 NPI

Sara Dettlaff, APNP

Family Nurse Practitioner · Green Bay, WI

NPI number 1750125514 Active

Practice location

744 S Webster Ave Fl 2
Green Bay, WI 54301-3505

Call (920) 433-3640 Map

Fax (920) 433-3716

Mailing address

635 Castlestone Ct
Oneida, WI 54155-9385

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	15486-33 (WI)

Family Nurse Practitioner: Definition to come...

12 other providers at this address

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Bobbi J. Debbout, NPFamily Nurse Practitioner Green Bay, WI NPI 1871745679
Catherine B. Frazier, PAPhysician Assistant Green Bay, WI NPI 1841622917
Christopher M. Wolfram, MDCardiovascular Disease Physician Green Bay, WI NPI 1740242155
Donnevan Blake, MDCardiovascular Disease Physician Green Bay, WI NPI 1801854898
Kristofer Michael Dosh, MDCardiovascular Disease Physician Green Bay, WI NPI 1790999092
Matthew Kyle Rafn, MDCardiovascular Disease Physician Green Bay, WI NPI 1922494285
Rudolph Francis Evonich Iii, MDClinical Cardiac Electrophysiology Physician Green Bay, WI NPI 1205909967
Sumit Nikunj Ringwala, MDInterventional Cardiology Physician Green Bay, WI NPI 1316089154
Vijaya K. Munagala, MDClinical Cardiac Electrophysiology Physician Green Bay, WI NPI 1780644666

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About NPI 1750125514

Sara Dettlaff, APNP's National Provider Identifier is 1750125514, issued on Jun 25, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Green Bay, WI. The record was last updated on Jun 25, 2024.