SUMAR ABUSHAQRA
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1023488475- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3400 UNION AVE, SHEBOYGAN, WI, 530818426
- Phone
- (920) 802-2100
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: IL #209.013305
Nurse Practitioner
License: WI #14723-033