NPI 1003177429

Sara C Poupore, NP

Practitioner Nurse Practitioner Hartford, WI

Practice location

Address: 1640 E Sumner St, Hartford, WI 53027-2684
Phone: (262) 670-4000
Mailing address: 3003 W Good Hope Rd, Milwaukee, WI 53209-2042

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 4867 (WI)

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Registry record

NPI: 1003177429
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jun 2012
Record last updated: 27 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.