Healthcare Provider Details

I. General information

NPI: 1659178028
Provider Name (Legal Business Name): SAKURA HEALTH AND WELLNESS, PROFESSIONAL LIMITED LIABILITY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1224 N ANDOVER RD STE 300
ANDOVER KS
67002-9310
US

IV. Provider business mailing address

1224 N ANDOVER RD STE 300
ANDOVER KS
67002-9310
US

V. Phone/Fax

Practice location:
  • Phone: 316-247-2234
  • Fax: 316-206-4104
Mailing address:
  • Phone: 316-247-2234
  • Fax: 316-206-4104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: JAMIE A HARRINGTON
Title or Position: OWNER
Credential: APRN
Phone: 316-247-2234