MEDICARE: MRS. SARAH J TAUILIILI N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	76345	KS

General Provider Information

NPI Number	:	1023427929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH J TAUILIILI N.P.

Provider Business Mailing Address
First Line	:	308 W BROADWAY ST
Second Line	:
City	:	NEWTON
State	:	KS
Zip	:	67114-2632
Country	:	US
Telephone Number	:	316-854-3999
Fax Number	:	316-999-0217

Provider Business Practice Location Address
First Line	:	308 W BROADWAY ST
Second Line	:
City	:	NEWTON
State	:	KS
Zip	:	67114-2632
Country	:	US
Telephone Number	:	316-854-3999
Fax Number	:	316-999-0217

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2014
Last Update Date	:	12/10/2025

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