Provider Demographics
NPI:1811227440
Name:SADDY, LAUREN SHEA (RN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:SHEA
Last Name:SADDY
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:W169S7352 PARKLAND DRIVE
Mailing Address - Street 2:
Mailing Address - City:MUSKEGO
Mailing Address - State:WI
Mailing Address - Zip Code:53150-8746
Mailing Address - Country:US
Mailing Address - Phone:262-271-0460
Mailing Address - Fax:262-971-0768
Practice Address - Street 1:W169S7352 PARKLAND DRIVE
Practice Address - Street 2:
Practice Address - City:MUSKEGO
Practice Address - State:WI
Practice Address - Zip Code:53150-8746
Practice Address - Country:US
Practice Address - Phone:262-271-0460
Practice Address - Fax:262-971-0768
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-04
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI170095-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse