# MRS. SARAH MARIE WENDE

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

## Provider details

- **NPI number:** 1902487135
- **Gender:** F
- **Credential:** MMS, PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 25MP00612000 | NJ | Yes |
| 363A00000X | Physician Assistant | 6120 | CT | — |
| 363A00000X | Physician Assistant | MA062387 | PA | — |

## Other

- **Enumeration date:** 04/19/2021
- **Last updated:** 09/15/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1172046 | PHYSICIAN ASSISTANT CERTIFICATION BY NCCPA | — |
| 01 | — | 25MP00612000 | STATE LICENSE TO PRACTICE | NJ |
| 01 | — | 6120 | CONNECTICUT STATE LICENSE | CT |
| 01 | — | MA062387 | STATE LICENSE TO PRACTICE | PA |