Provider Demographics
NPI:1073072187
Name:MEHRING, SARA MARIE (RN)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:MARIE
Last Name:MEHRING
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 1:222 LINCOLNSHIRE PL APT 202
Mailing Address - Street 2:
Mailing Address - City:WALES
Mailing Address - State:WI
Mailing Address - Zip Code:53183-9106
Mailing Address - Country:US
Mailing Address - Phone:414-690-3382
Mailing Address - Fax:
Practice Address - Street 1:222 LINCOLNSHIRE PL APT 202
Practice Address - Street 2:
Practice Address - City:WALES
Practice Address - State:WI
Practice Address - Zip Code:53183-9106
Practice Address - Country:US
Practice Address - Phone:414-690-3382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-18
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI125695-30163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Multi-Specialty