Individual
SARAH E DEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1425 NW BLUE PKWY, LEES SUMMIT, MO 64086-5705
(816) 524-3223
(816) 525-2697
Mailing address
1425 NW BLUE PKWY, LEES SUMMIT, MO 64086-5705
(816) 524-3223
(816) 525-2697
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
154611
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363LP0200X
—
MO
Enumeration date
07/24/2009
Last updated
03/19/2025
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