Healthcare Provider Details

I. General information

NPI: 1801603097
Provider Name (Legal Business Name): SABRINA PINKLEY APNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2024
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11414 W PARK PL STE 202
MILWAUKEE WI
53224-3500
US

IV. Provider business mailing address

147 RICHARD AVE
NEENAH WI
54956-2223
US

V. Phone/Fax

Practice location:
  • Phone: 877-906-9699
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number16133-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: