MEDICARE: SABA FAROOQUI

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
1	363LA2100X	Acute Care Nurse Practitioner	15436-33	WI

General Provider Information

NPI Number	:	1700772035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABA FAROOQUI

Provider Business Mailing Address
First Line	:	3950 W MINNESOTA AVE
Second Line	:
City	:	FRANKLIN
State	:	WI
Zip	:	53132-8763
Country	:	US
Telephone Number	:	414-627-0786
Fax Number	:

Provider Business Practice Location Address
First Line	:	3950 W MINNESOTA AVE
Second Line	:
City	:	FRANKLIN
State	:	WI
Zip	:	53132-8763
Country	:	US
Telephone Number	:	414-627-0786
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2025
Last Update Date	:	06/13/2025

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Directions to “ SABA FAROOQUI ” Practice Location

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