Individual
MRS. SARA MELISSA CORPUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NNP-BC
Contact information
Practice address
2401 GILLHAM RD, NEONATOLOGY, KANSAS CITY, MO 64108-4619
(816) 234-3591
(816) 234-3590
Mailing address
2401 GILLHAM RD., PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
2017024382
MO
363LN0000X
Neonatal Nurse Practitioner
53-77792-041
KS
Other
Enumeration date
08/02/2017
Last updated
04/20/2026
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