Provider Demographics
NPI:1003377508
Name:ADAMS, SARAH HELEN (RN)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:HELEN
Last Name:ADAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N2165 WILSON DR
Mailing Address - Street 2:
Mailing Address - City:WAUPACA
Mailing Address - State:WI
Mailing Address - Zip Code:54981-9752
Mailing Address - Country:US
Mailing Address - Phone:715-281-5692
Mailing Address - Fax:
Practice Address - Street 1:N2165 WILSON DR
Practice Address - Street 2:
Practice Address - City:WAUPACA
Practice Address - State:WI
Practice Address - Zip Code:54981-9752
Practice Address - Country:US
Practice Address - Phone:715-281-5692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-27
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI149531-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse