Provider Demographics
NPI:1558063891
Name:MAJCHRZAK, SIDNEE RAE (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:SIDNEE
Middle Name:RAE
Last Name:MAJCHRZAK
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7058 N 725 W
Mailing Address - Street 2:
Mailing Address - City:WINAMAC
Mailing Address - State:IN
Mailing Address - Zip Code:46996-8271
Mailing Address - Country:US
Mailing Address - Phone:574-806-5484
Mailing Address - Fax:
Practice Address - Street 1:701 W TALMER AVE
Practice Address - Street 2:
Practice Address - City:NORTH JUDSON
Practice Address - State:IN
Practice Address - Zip Code:46366-1335
Practice Address - Country:US
Practice Address - Phone:574-896-5533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INF03230553363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily