Individual
SARA E MCKINZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
1275 HAWTHORN RD, SALEM, IL 62881-1028
(618) 548-4545
(618) 548-4577
Mailing address
9447 HOLY CROSS LN, BREESE, IL 62230-3510
(618) 526-2209
(618) 526-7372
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209011044
IL
363LW0102X
Women's Health Nurse Practitioner
Primary
209011044
IL
Other
Enumeration date
02/12/2014
Last updated
01/29/2025
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