Ebsen, Sara

Ebsen, Sara is an individual health care provider with primary practice located at 1284 N Summit Ave , Oconomowoc WI 53066-4459. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ebsen, Sara can be contacted via phone (262) 560-3700.

Contact Information

Primary practice address
1284 N Summit Ave Oconomowoc WI 53066-4459
Phone: (262) 560-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 13424-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 232463 Wisconsin

Profile Details

NPI number 1740918754
LBN Legal business name Ebsen, Sara
Credentials AGPCNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2022
Last updated Jun 12th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740918754 NPPES
Wisconsin MEDICAID 1740918754

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