Healthcare Provider Details

I. General information

NPI: 1710495965
Provider Name (Legal Business Name): SARAH ELIZABETH BARTO APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH ELIZABETH WIESNER APRN-BC

II. Dates (important events)

Enumeration Date: 01/22/2018
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 CATLIN DR
BARNHART MO
63012-1216
US

IV. Provider business mailing address

PO BOX 776084
CHICAGO IL
60677-6084
US

V. Phone/Fax

Practice location:
  • Phone: 636-741-3233
  • Fax:
Mailing address:
  • Phone: 314-364-7586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number209017157
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209.017157
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number16925
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: