Provider Demographics
NPI:1548229156
Name:O'CONNELL, SARAH LYNN (RN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN
Last Name:O'CONNELL
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 1:5510 REIGHMOOR RD
Mailing Address - Street 2:
Mailing Address - City:OMRO
Mailing Address - State:WI
Mailing Address - Zip Code:54963-9439
Mailing Address - Country:US
Mailing Address - Phone:920-685-0178
Mailing Address - Fax:
Practice Address - Street 1:5510 REIGHMOOR RD
Practice Address - Street 2:
Practice Address - City:OMRO
Practice Address - State:WI
Practice Address - Zip Code:54963-9439
Practice Address - Country:US
Practice Address - Phone:920-685-0178
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse