Healthcare Provider Details

I. General information

NPI: 1730428202
Provider Name (Legal Business Name): SARAH L. HIGO FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS SARAH L. HALL

II. Dates (important events)

Enumeration Date: 02/04/2013
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 S NEW BALLAS RD DEPT. OF ANESTHESIA
SAINT LOUIS MO
63141-8221
US

IV. Provider business mailing address

339 CONSORT DR
BALLWIN MO
63011-4439
US

V. Phone/Fax

Practice location:
  • Phone: 314-251-4687
  • Fax: 636-200-4243
Mailing address:
  • Phone: 636-386-9224
  • Fax: 636-200-4243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2012038285
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: