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NPI Code Detail

MEDICARE: SARAH A. WALTERS GNP, CHPN

MEDICARE: SARAH A. WALTERS GNP, CHPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner45056KS
2363LG0600XGerontology Nurse Practitioner148809MO
3163W00000XRegistered Nurse148809MO
4163W00000XRegistered Nurse84437KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255433306
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH A. WALTERS GNP, CHPN
Provider Business Mailing Address
First Line : 9200 INDIAN CREEK PKWY
Second Line : BLDG. 9, STE. 300
City : OVERLAND PARK
State : KS
Zip : 66210-2036
Country : US
Telephone Number : 913-574-2800
Fax Number : 913-574-2336
Provider Business Practice Location Address
First Line : 8700 N GREEN HILLS RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64154-1910
Country : US
Telephone Number : 913-574-2520
Fax Number : 913-574-2612
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 03/08/2017

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