Healthcare Provider Details

I. General information

NPI: 1174134456
Provider Name (Legal Business Name): SARAH HOEFERT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2020
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15420 MANCHESTER RD
BALLWIN MO
63011-3029
US

IV. Provider business mailing address

15420 MANCHESTER RD
BALLWIN MO
63011-3029
US

V. Phone/Fax

Practice location:
  • Phone: 636-226-4444
  • Fax:
Mailing address:
  • Phone: 636-226-4444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209035195
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0995763-NP
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2026011635
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: