Healthcare Provider Details

I. General information

NPI: 1235754599
Provider Name (Legal Business Name): SARAH ELIZABETH HEWITT FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2020
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8383 GREENWAY BLVD STE 210
MIDDLETON WI
53562-3506
US

IV. Provider business mailing address

39 HAWK FEATHER CIR
MADISON WI
53717-2744
US

V. Phone/Fax

Practice location:
  • Phone: 608-817-0965
  • Fax:
Mailing address:
  • Phone: 617-842-0948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1128944-30
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number18834-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: