Healthcare Provider Details

I. General information

NPI: 1023427929
Provider Name (Legal Business Name): SARAH J TAUILIILI N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2014
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 W BROADWAY ST
NEWTON KS
67114-2632
US

IV. Provider business mailing address

308 W BROADWAY ST
NEWTON KS
67114-2632
US

V. Phone/Fax

Practice location:
  • Phone: 316-854-3999
  • Fax: 316-999-0217
Mailing address:
  • Phone: 316-854-3999
  • Fax: 316-999-0217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number76345
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: