Provider Demographics
NPI:1770238255
Name:STEWART, SARAH EMILY (APNP)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:EMILY
Last Name:STEWART
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:EMILY
Other - Last Name:CLAYTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:147 W ROCKWELL ST
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:WI
Mailing Address - Zip Code:53549-2048
Mailing Address - Country:US
Mailing Address - Phone:920-674-6255
Mailing Address - Fax:
Practice Address - Street 1:147 W ROCKWELL ST
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:WI
Practice Address - Zip Code:53549-2048
Practice Address - Country:US
Practice Address - Phone:920-674-6255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1174533363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily