Provider Demographics
NPI:1225421209
Name:BONE, SARAH K (RN BSN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:K
Last Name:BONE
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:KATHRYN
Other - Last Name:CADY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:505 EVERGREEN DR
Mailing Address - Street 2:
Mailing Address - City:HOLMEN
Mailing Address - State:WI
Mailing Address - Zip Code:54636-9144
Mailing Address - Country:US
Mailing Address - Phone:608-769-1189
Mailing Address - Fax:
Practice Address - Street 1:505 EVERGREEN DR
Practice Address - Street 2:
Practice Address - City:HOLMEN
Practice Address - State:WI
Practice Address - Zip Code:54636-9144
Practice Address - Country:US
Practice Address - Phone:608-769-1189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-14
Last Update Date:2015-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI200119-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse