Individual
SARA B. MCCALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
281 US HIGHWAY 60 W, REPUBLIC, MO 65738-1432
(417) 501-9042
(417) 708-0815
Mailing address
281 US HIGHWAY 60 W, REPUBLIC, MO 65738-1432
(417) 501-9042
(417) 708-0815
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2013023603
MO
363LF0000X
Family Nurse Practitioner
Primary
2017017451
MO
363LF0000X
Family Nurse Practitioner
F06170002
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132680912
MEDICARE
MO
01
—
MA10228
MISSOURI MEDICARE
MO
05
—
PENDING
—
AR
05
—
PENDING
—
MO
05
—
PENDING
—
OK
Enumeration date
09/07/2016
Last updated
10/28/2025
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