Healthcare Provider Details

I. General information

NPI: 1164969143
Provider Name (Legal Business Name): SARAH ANNE DOLL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH ANNE DINNENY FNP

II. Dates (important events)

Enumeration Date: 01/27/2017
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5420 E BANNISTER RD.
KANSAS CITY MO
64137
US

IV. Provider business mailing address

6101 BLUE LAGOON DR STE 200
MIAMI FL
33126-3168
US

V. Phone/Fax

Practice location:
  • Phone: 816-946-6930
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2012022930
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: