Provider Demographics
NPI:1952544256
Name:ZELLMER, SARAH JEANNETTE (RN)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:JEANNETTE
Last Name:ZELLMER
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 1:415 S SHERMAN ST
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:WI
Mailing Address - Zip Code:53119-2247
Mailing Address - Country:US
Mailing Address - Phone:262-264-0776
Mailing Address - Fax:
Practice Address - Street 1:335 E CLAY ST
Practice Address - Street 2:
Practice Address - City:WHITEWATER
Practice Address - State:WI
Practice Address - Zip Code:53190-2065
Practice Address - Country:US
Practice Address - Phone:262-472-0895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163197-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse