IndividualActive
Amy Sackmann
NPI 1174543128 · Licensed Practical Nurse · Appleton, WI
Provider details
- NPI number
- 1174543128
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 21096 (WI)
Specialties & taxonomies
Nursing Service Providers
Practice location
10 Tri Park Way
Appleton, WI 54914-1658
Phone: (920) 831-0070
Approximate (ZIP-level) locationGet directions
Mailing address
W6014 Coral Ct
Appleton, WI 54915-7425
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.