Individual
DR. SARA ELIZABETH PENALOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, NP-C
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 414-1000
Mailing address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017029545
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420046825
—
MO
Enumeration date
08/19/2017
Last updated
11/30/2020
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