Provider Demographics
NPI:1346611241
Name:SAGRILLO, DAWN PATRICE (NP)
Entity type:Individual
Prefix:MS
First Name:DAWN
Middle Name:PATRICE
Last Name:SAGRILLO
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:130 W SILVER SPRING DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WHITEFISH BAY
Mailing Address - State:WI
Mailing Address - Zip Code:53217-4735
Mailing Address - Country:US
Mailing Address - Phone:414-964-1111
Mailing Address - Fax:414-964-1122
Practice Address - Street 1:130 W SILVER SPRING DR
Practice Address - Street 2:SUITE 200
Practice Address - City:WHITEFISH BAY
Practice Address - State:WI
Practice Address - Zip Code:53217-4735
Practice Address - Country:US
Practice Address - Phone:414-964-1111
Practice Address - Fax:414-964-1122
Is Sole Proprietor?:No
Enumeration Date:2015-10-18
Last Update Date:2015-10-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI6552-33363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health