Provider Demographics
NPI:1861737108
Name:ESCARENO, SARAH J (APNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:ESCARENO
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:JANE
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:N64W23110 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:WI
Mailing Address - Zip Code:53089-3230
Mailing Address - Country:US
Mailing Address - Phone:414-566-8103
Mailing Address - Fax:262-512-2219
Practice Address - Street 1:6400 W ENTERPRISE DR FL 1
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-4400
Practice Address - Country:US
Practice Address - Phone:262-512-8138
Practice Address - Fax:262-512-2219
Is Sole Proprietor?:No
Enumeration Date:2012-11-27
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5162363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner