Organization
WAW MIND AND BODY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH E WAWRZYNIAK APNP (NURSE PRACTITIONER)
(803) 457-2242
Entity
Organization
Contact information
Practice address
5002 FOX KNOLL LN, COLGATE, WI 53017-9127
(262) 264-8414
(803) 393-8908
Mailing address
5002 FOX KNOLL LN, COLGATE, WI 53017-9127
(262) 264-8414
(803) 393-8908
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740465111
—
WI
Enumeration date
04/30/2025
Last updated
05/02/2025
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