# SARAH RAE WICKENHAUSER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1760994404
- **Gender:** F
- **Credential:** FNP-C, PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 209016863 | IL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 209016863 | IL | — |

## Other

- **Enumeration date:** 11/03/2017
- **Last updated:** 03/23/2026