Healthcare Provider Details

I. General information

NPI: 1124436894
Provider Name (Legal Business Name): SARAH M. KATTERHEINRICH N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH M NELSON

II. Dates (important events)

Enumeration Date: 07/25/2014
Last Update Date: 10/21/2022
Certification Date: 10/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 HIGHLAND AVE
MADISON WI
53792-0001
US

IV. Provider business mailing address

7974 UW HEALTH CT
MIDDLETON WI
53562-5531
US

V. Phone/Fax

Practice location:
  • Phone: 608-262-5420
  • Fax: 608-262-5624
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5876-33
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number199949-30
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: