Provider Demographics
NPI:1932770385
Name:WENZEL, SARAH KATHRYN (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:KATHRYN
Last Name:WENZEL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:KATHRYN
Other - Last Name:POOLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1000 DULUTH HWY APT 1104
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-8604
Mailing Address - Country:US
Mailing Address - Phone:706-473-6417
Mailing Address - Fax:
Practice Address - Street 1:1000 DULUTH HWY APT 1104
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-8604
Practice Address - Country:US
Practice Address - Phone:706-473-6417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN268217207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine