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SARAH M WAINWRIGHT CNP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1285743468
Individual Registrant: SARAH M WAINWRIGHT CNP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1238 HIGHWAY 42 SUMRALL, MS 39482 US
Tel: 601-758-3100 Fax: 601-758-3060
Tel: 601-758-3100 Fax: 601-758-3060
Contact information for business:
415 S 28TH AVE HATTIESBURG, MS 39401-7246 US
Tel: 601-579-5463 Fax: 601-579-5240
Tel: 601-579-5463 Fax: 601-579-5240
Registration Information:
NPI: 1285743468
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | MS | R537896 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00116285 | MS | 05 | |
| 1712876 | LA | 05 | |
| RAILROAD MEDICARE | 500002171 | MS | 01 |
