| Doctor Name: | MS. DAWN PATRICE SAGRILLO |
| NPI Number: | 1346611241 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 6552-33 |
| Business Practice Address: | 130 W Silver Spring Dr Suite 200 Whitefish Bay, WI - 532174735 |
| Business Phone Number: | 4149641111 |
| Business Fax Number: | 4149641122 |
| Mailing Address: | 130 W Silver Spring Dr, Suite 200 WHITEFISH BAY |
| State: | WI |
| Postal Code: | 532174735 |
| Phone Number: | 4149641111 |
| Fax Number: | 4149641122 |
| NPI Enumeration Date: | 10/18/2015 |
| NPI Last Update Date: | 10/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 6552-33 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |