Healthcare Provider Details

I. General information

NPI: 1366636797
Provider Name (Legal Business Name): KAREN R. SINNETT APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2007
Last Update Date: 08/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 W NEBRASKA ST
MUSCODA WI
53573
US

IV. Provider business mailing address

125 W NEBRASKA ST PO BOX 657
MUSCODA WI
53573
US

V. Phone/Fax

Practice location:
  • Phone: 608-739-3113
  • Fax:
Mailing address:
  • Phone: 608-739-3113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number117708
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: