Provider Demographics
NPI:1982348249
Name:BANGEL, SARAH IONE (DNP, APNP, FNP-BC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:IONE
Last Name:BANGEL
Suffix:
Gender:F
Credentials:DNP, APNP, FNP-BC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:IONE
Other - Last Name:TAIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3232 LILAC ST
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54703-0434
Mailing Address - Country:US
Mailing Address - Phone:715-797-4797
Mailing Address - Fax:
Practice Address - Street 1:3232 LILAC ST
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54703-0434
Practice Address - Country:US
Practice Address - Phone:715-797-4797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-22
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11739-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily