Provider Demographics
NPI:1659961811
Name:WARNEZ, SARAH GRACE (DNP, AGPCNP-BC, RN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:GRACE
Last Name:WARNEZ
Suffix:
Gender:F
Credentials:DNP, AGPCNP-BC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 S WAVERLY RD
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-5202
Mailing Address - Country:US
Mailing Address - Phone:517-500-5351
Mailing Address - Fax:
Practice Address - Street 1:801 S WAVERLY RD STE 200
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-4200
Practice Address - Country:US
Practice Address - Phone:517-500-5351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704333359363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health