Healthcare Provider Details

I. General information

NPI: 1164845483
Provider Name (Legal Business Name): SARAH L WOJTOWICZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2014
Last Update Date: 03/12/2024
Certification Date: 03/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 20TH AVE N STE G4
NASHVILLE TN
37203-2244
US

IV. Provider business mailing address

3024 BUSINESS PARK CIR
GOODLETTSVILLE TN
37072-3132
US

V. Phone/Fax

Practice location:
  • Phone: 615-284-5098
  • Fax:
Mailing address:
  • Phone: 615-239-2018
  • Fax: 708-442-5670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209010865
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number26896
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: