Provider Demographics
NPI:1861710543
Name:SAUER, JULIA LYNN (RN)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:LYNN
Last Name:SAUER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:LYNN
Other - Last Name:KUIKEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6510 RANDYLYN ST
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:WI
Mailing Address - Zip Code:54476-4446
Mailing Address - Country:US
Mailing Address - Phone:715-551-4361
Mailing Address - Fax:
Practice Address - Street 1:6510 RANDYLYN ST
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:WI
Practice Address - Zip Code:54476-4446
Practice Address - Country:US
Practice Address - Phone:715-551-4361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI164837163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse