Provider Demographics
NPI:1629715693
Name:PIEL, SARAH (APNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:PIEL
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:NOVITZKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:510 N 17TH AVE STE A
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-4254
Mailing Address - Country:US
Mailing Address - Phone:715-842-7707
Mailing Address - Fax:715-842-9890
Practice Address - Street 1:510 N 17TH AVE STE A
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-4254
Practice Address - Country:US
Practice Address - Phone:715-842-7707
Practice Address - Fax:715-842-9890
Is Sole Proprietor?:No
Enumeration Date:2022-05-19
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11973-33363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner