Sara Dettlaff, APNP
Sara Dettlaff, APNP is a Nurse Practitioner in Green Bay, Wisconsin. Qualified in 2024, 2 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 2
- Licensed in
- WI
- In the registry since
- 2024
Practice location Address checks out
744 S Webster Ave Fl 2Green Bay, WI 54301-3505
Phone: (920) 433-3640
Fax: (920) 433-3716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 15486-33 (WI) |
|---|
Record details
| NPI number | 1750125514 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | APNP |
| Sole proprietor | No |
| NPI enumerated | June 25, 2024 |
| Last updated in NPPES | June 25, 2024 |
| Certification date | June 25, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Bellin Memorial Hospital Inc — 681 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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