Individual
SARA LYNN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4000 CAMBRIDGE DEPARTMENT OF NURSING SERVICES, KANSAS CITY, KS 66160-0001
(913) 588-7832
Mailing address
3901 RAINBOW BLVD, DEPARTMENT OF NURSING SERVICES, KANSAS CITY, KS 66160-0001
(913) 588-7832
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
13-87416-072
KS
363L00000X
Nurse Practitioner
Primary
46031
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-87416-072
RN LICENSE
KS
01
—
46031
ARNP LICENSE
KS
Enumeration date
06/15/2007
Last updated
12/18/2018
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