Provider Demographics
NPI:1174605661
Name:WANNER, SARA ELIZABETH (ACNP-BC, RN)
Entity type:Individual
Prefix:MS
First Name:SARA
Middle Name:ELIZABETH
Last Name:WANNER
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Gender:F
Credentials:ACNP-BC, RN
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Mailing Address - Street 1:110 IRVING ST NW STE 5A8
Mailing Address - Street 2:MEDSTAR WASHINGTON HOSPITAL CENTER
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-3017
Mailing Address - Country:US
Mailing Address - Phone:202-877-9266
Mailing Address - Fax:202-877-3455
Practice Address - Street 1:110 IRVING ST NW STE 5A8
Practice Address - Street 2:MEDSTAR WASHINGTON HOSPITAL CENTER
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-3017
Practice Address - Country:US
Practice Address - Phone:202-877-9266
Practice Address - Fax:202-877-3455
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2015-02-27
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Provider Licenses
StateLicense IDTaxonomies
DCRN1016890363LA2100X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse