Provider Demographics
NPI:1558924811
Name:GARVEN, SARAH KATHRYN (PMHNP)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:KATHRYN
Last Name:GARVEN
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:KATHRYN
Other - Last Name:HAUSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5000 WEST NATIONAL AVE RM 3119
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53295-1000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5000 WEST NATIONAL AVE RM 3119
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53295-1000
Practice Address - Country:US
Practice Address - Phone:414-384-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI918333363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health