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Individual

SARAH LINDSEY SASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
2013020991
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
2019020048
MO
363LP0200X
Pediatric Nurse Practitioner
53-78892-122
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201250970A
KS
05
420073156
MO
Enumeration date
04/01/2019
Last updated
06/09/2022
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