Individual
MS. SARA NICOLE KOENEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
8010 STATE LINE RD STE 100, PRAIRIE VILLAGE, KS 66208-3711
(816) 830-4285
(913) 400-3631
Mailing address
8010 STATE LINE RD STE 100, PRAIRIE VILLAGE, KS 66208-3711
(816) 830-4285
(913) 400-3631
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2016007832
MO
363LF0000X
Family Nurse Practitioner
112929
NE
363LF0000X
Family Nurse Practitioner
17577-33
WI
363LF0000X
Family Nurse Practitioner
4704380095
MI
363LF0000X
Family Nurse Practitioner
53-77077-022
KS
363LF0000X
Family Nurse Practitioner
53-77077-022
MN
363LF0000X
Family Nurse Practitioner
Primary
65631
NM
363LF0000X
Family Nurse Practitioner
71017067A
IN
363LF0000X
Family Nurse Practitioner
A185920
IA
363LF0000X
Family Nurse Practitioner
APRN.CNP.0041061
OH
Other
Enumeration date
03/24/2016
Last updated
12/30/2025
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