Healthcare Provider Details

I. General information

NPI: 1538151709
Provider Name (Legal Business Name): MARGARET R SANFORD ARNP WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 09/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6730 W 121ST ST
OVERLAND PARK KS
66209-2002
US

IV. Provider business mailing address

6730 W 121ST ST
OVERLAND PARK KS
66209-2002
US

V. Phone/Fax

Practice location:
  • Phone: 913-307-0044
  • Fax: 913-948-5380
Mailing address:
  • Phone: 913-307-0044
  • Fax: 913-948-5380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SW0102X
TaxonomyWomen's Health Clinical Nurse Specialist
License Number14-067950-111/NP 442
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code364SW0102X
TaxonomyWomen's Health Clinical Nurse Specialist
License NumberRN 136671
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code364SW0102X
TaxonomyWomen's Health Clinical Nurse Specialist
License NumberRN 204284L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: