Individual
SARA ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
12266 DE PAUL DR STE 100, BRIDGETON, MO 63044-2541
(314) 738-2770
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
2018019547
MO
363LF0000X
Family Nurse Practitioner
Primary
2018019547
MO
Other
Enumeration date
06/24/2019
Last updated
10/19/2020
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