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Contact Information

SARA EBSEN, AGPCNP-BC
36500 AURORA DR
SUMMIT, WI53066-4899
 Phone: 262-434-5000
 Fax: 262-434-7950
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SARA EBSEN · (Female)

NPI # 1740918754
Status Active
Credentials AGPCNP-BC
Entity Individual
Enumeration date 08/09/2022
Last updated 04/28/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • WI License # 13424-033
  • WI License # 232463
  • WI Medicaid 100236043
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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