Individual
SANDRA L NABOURS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 960-2867
(816) 960-2936
Mailing address
15248 SHERWOOD RD, LEAWOOD, KS 66224-9783
(816) 234-3000
(816) 960-2936
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
064921
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423334101
—
MO
Enumeration date
04/25/2006
Last updated
02/02/2012
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