Healthcare Provider Details

I. General information

NPI: 1316096449
Provider Name (Legal Business Name): SARA ANN KNEUSS MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARA ANN RAMSEY

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 01/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1684 E BOSTON ST STE 102
GILBERT AZ
85295-6220
US

IV. Provider business mailing address

1684 E BOSTON ST STE 102
GILBERT AZ
85295-6220
US

V. Phone/Fax

Practice location:
  • Phone: 480-476-8718
  • Fax: 480-448-2411
Mailing address:
  • Phone: 480-448-2411
  • Fax: 480-476-8718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN 138330
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: