Healthcare Provider Details

I. General information

NPI: 1861737108
Provider Name (Legal Business Name): SARAH J ESCARENO APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH JANE HILL FNP

II. Dates (important events)

Enumeration Date: 11/27/2012
Last Update Date: 01/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 W ENTERPRISE DR FL 1
MEQUON WI
53092-4400
US

IV. Provider business mailing address

N64W23110 MAIN ST
SUSSEX WI
53089-3230
US

V. Phone/Fax

Practice location:
  • Phone: 262-512-8138
  • Fax: 262-512-2219
Mailing address:
  • Phone: 414-566-8103
  • Fax: 262-512-2219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5162
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: