Provider Demographics
NPI:1770038754
Name:SAUTER, LOREN ANN (RN)
Entity Type:Individual
Prefix:
First Name:LOREN
Middle Name:ANN
Last Name:SAUTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LOREN
Other - Middle Name:ANN
Other - Last Name:DAUTERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:802 KING AVE
Mailing Address - Street 2:
Mailing Address - City:TOMAH
Mailing Address - State:WI
Mailing Address - Zip Code:54660-2216
Mailing Address - Country:US
Mailing Address - Phone:608-377-0356
Mailing Address - Fax:
Practice Address - Street 1:802 KING AVE
Practice Address - Street 2:
Practice Address - City:TOMAH
Practice Address - State:WI
Practice Address - Zip Code:54660-2216
Practice Address - Country:US
Practice Address - Phone:608-377-0356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-19
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI179500-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse