Individual
SARA STAAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
168 E REYNOLDS RD STE 130, LEXINGTON, KY 40517-1317
(859) 554-5067
(859) 818-0324
Mailing address
168 E REYNOLDS RD STE 130, LEXINGTON, KY 40517-1317
(859) 554-5067
(859) 818-0324
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014733
KY
Other
Enumeration date
08/09/2020
Last updated
09/03/2020
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