Individual
SARA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4625 LINDELL BLVD FL 2, SAINT LOUIS, MO 63108-3739
(914) 919-9200
Mailing address
16240 FOSTER ST, STILWELL, KS 66085-8418
(913) 894-8500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
76822
KS
Other
Enumeration date
06/05/2015
Last updated
09/15/2025
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