Individual
SARA LINDSEY NYBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS PA-C
Contact information
Practice address
701 S NEW BALLAS RD STE 510, SAINT LOUIS, MO 63141-8726
(314) 251-6710
Mailing address
701 S NEW BALLAS RD STE 510, SAINT LOUIS, MO 63141-8726
(314) 251-6710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2025012348
MO
363A00000X
Physician Assistant
6614
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962840165
—
WI
01
—
3031221
CIGNA
WI
Enumeration date
06/10/2013
Last updated
03/17/2026
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