SARA MARIE STAFFELDT NPI 1871264713

NPI Information

NPI: 1871264713
Provider Name: SARA MARIE STAFFELDT
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
130 2ND ST
NEENAH, WI
ZIP 54956
Phone: (920) 729-3100
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Sara Marie Staffeldt is an acute care nurse practitioner in Neenah, WI with 3 years of experience. Sara Marie Staffeldt NPI is 1871264713. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

130 2ND ST
NEENAH, WI
ZIP 54956-883
Phone: (920) 729-3100

The NPI 1871264713 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/21/2021 and was last updated on 1/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	11666	WISCONSIN	No
2	364SA2200X	Clinical Nurse Specialist	Adult Health	11666	WISCONSIN	No
3	363LA2100X	Nurse Practitioner	Acute Care	11666	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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