Provider Demographics
NPI:1730751918
Name:HYLINSKI, SARAH NICOLE (FNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:NICOLE
Last Name:HYLINSKI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:NICOLE
Other - Last Name:HAGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9115 225TH AVE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:WI
Mailing Address - Zip Code:53168-2301
Mailing Address - Country:US
Mailing Address - Phone:262-914-5122
Mailing Address - Fax:
Practice Address - Street 1:5021 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53144-4292
Practice Address - Country:US
Practice Address - Phone:262-654-6770
Practice Address - Fax:262-654-6727
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-15
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI177717-30163W00000X
WI11084-33363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI11084-33OtherADVANCE PRACTICE NURSE PRESCRIBER LICENSE NUMBER
WI177714-30OtherREGISTERED NURSE LICENSE NUMBER