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NPI Code Detail

MEDICARE: SARAH ANN MATHEWS CRONIN NP

MEDICARE: SARAH ANN MATHEWS CRONIN NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner4035-033WI

General Provider Information

NPI Number : 1356661490
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ANN MATHEWS CRONIN NP
Provider Business Mailing Address
First Line : 2748 OSMUNDSEN RD
Second Line :
City : FITCHBURG
State : WI
Zip : 53711-5247
Country : US
Telephone Number : 608-276-6071
Fax Number :
Provider Business Practice Location Address
First Line : 1617 SHERMAN AVE
Second Line :
City : MADISON
State : WI
Zip : 53704-5930
Country : US
Telephone Number : 800-963-0035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2010
Last Update Date : 10/20/2016

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