Most Relevant Information
Provider Data
| NPI Number: | 1003177429 |
| Provider Name: | SARA C POUPORE NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 4867 |
Most Important Dates
| Enumeration Date: | 06/01/2012 |
| Last Updated: | 07/27/2012 |
Provider Practice Location
1640 E SUMNER ST
HARTFORD
WI
530272684
Practice Location Phone/Fax
| Phone: | 2626704000 |
| Fax: |
Provider Mailing Location
3003 W GOOD HOPE RD
MILWAUKEE
WI
532092042
Provider Mailing Phone/Fax
| Phone: | 4143523100 |
| Fax: |