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Sarah Rae Wickenhauser
Nurse Practitioner in Springfield, Illinois
NPI 1760994404

Sarah Rae Wickenhauser is a Nurse Practitioner based in Sherman, IL. Sarah Rae Wickenhauser practices in Springfield, IL. The NPI Number for Sarah Rae Wickenhauser is 1760994404 and holds a License No. 209016863 (Illinois).

The current practice location address for Sarah Rae Wickenhauser is 5220 6Th Street Frontage Rd E, Springfield, IL and can be reached out via phone at 217-993-0998 and via fax at 217-529-4228.

Location: 5220 6Th Street Frontage Rd E, Springfield, IL, 62684-9517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760994404
Provider Name
Sarah Rae Wickenhauser
Credential
Provider Entity Type
Individual
Gender
Female
Address
5220 6Th Street Frontage Rd E, Springfield, IL, 62684-9517
Phone Number
217-993-0998
Fax Number
217-529-4228
Provider Enumeration Date
11/03/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5220 6Th Street Frontage Rd E
City
Springfield
State
Illinois
Zip
62703-5735
Phone Number
217-993-0998
Fax Number
217-529-4228
person
Provider Business Mailing Address Details
Address
5220 6Th Street Frontage Rd E
City
Springfield
State
Illinois
Zip
62703-5735
Phone Number
217-993-0998
Fax Number
217-529-4228
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209016863 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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