Healthcare Provider Details

I. General information

NPI: 1295921302
Provider Name (Legal Business Name): SARAH E SBARRA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS SARAH E GORES

II. Dates (important events)

Enumeration Date: 09/21/2007
Last Update Date: 10/27/2020
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 VETERANS MEMORIAL PKWY STE 300
SAINT CHARLES MO
63303-2106
US

IV. Provider business mailing address

PO BOX 955534
SAINT LOUIS MO
63195-5534
US

V. Phone/Fax

Practice location:
  • Phone: 636-669-2350
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License Number2003017472
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2003017472
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: