Provider Demographics
NPI:1033450697
Name:BURRUS, SARAH K (RN, CPNP-PC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:K
Last Name:BURRUS
Suffix:
Gender:F
Credentials:RN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 ASHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63383-1065
Mailing Address - Country:US
Mailing Address - Phone:636-456-0572
Mailing Address - Fax:
Practice Address - Street 1:511 ASHLAND AVE
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:MO
Practice Address - Zip Code:63383-1065
Practice Address - Country:US
Practice Address - Phone:636-456-0572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-07
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006025694363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics