Healthcare Provider Details

I. General information

NPI: 1124951264
Provider Name (Legal Business Name): KRISTI SAUSER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 N MAIN ST
VERONA WI
53593-1103
US

IV. Provider business mailing address

743 MARLOW BAY
VERONA WI
53593-1781
US

V. Phone/Fax

Practice location:
  • Phone: 608-515-6153
  • Fax:
Mailing address:
  • Phone: 608-515-6153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number147330-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: