Individual provider · Type 1 NPI

Sarah Rae Wickenhauser, FNP-C, PMHNP

Nurse Practitioner · Atlanta, GA

NPI number 1760994404 Active

Practice location

PO Box 748465
Atlanta, GA 30374-8465

Fax (617) 807-0958

Other practice locations

  • 5220 6th Street Frontage Rd E, Springfield, IL 62703-5735 · (217) 993-0998
  • 416 Main St Ste 601, Peoria, IL 61602-3126 · (217) 341-6550

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209016863 (IL)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X209016863 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

29 other providers at this address

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About NPI 1760994404

Sarah Rae Wickenhauser, FNP-C, PMHNP's National Provider Identifier is 1760994404, issued on Nov 3, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Atlanta, GA. The record was last updated on Mar 23, 2026.