SARAH RAE WICKENHAUSER

SPRINGFIELD, IL
NPI1760994404
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209016863)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209016863)
Enumeration Date2017-11-03
Last Update Date2025-10-28
Business Address
SARAH RAE WICKENHAUSER FNP-C, PMHNP
5220 6TH STREET FRONTAGE RD E
SPRINGFIELD, IL 62703-5735
Phone number: 217-993-0998
Mailing Address
SARAH RAE WICKENHAUSER FNP-C, PMHNP
PO BOX 748465
ATLANTA, GA 30374-8465
Phone number: 855-284-7483