Individual
SARA MARIE KLAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2550 FLOWOOD DR STE 100, FLOWOOD, MS 39232-9304
(601) 939-1444
Mailing address
135 SUNNYCREST DR, RIDGELAND, MS 39157-2536
(601) 212-8711
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903753
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
903753
LIC
MS
Enumeration date
02/12/2020
Last updated
02/12/2020
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