Provider Demographics
NPI:1326667155
Name:OBERLANDER, SARA ANN (AGACNP-C)
Entity Type:Individual
Prefix:MISS
First Name:SARA
Middle Name:ANN
Last Name:OBERLANDER
Suffix:
Gender:F
Credentials:AGACNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3321 SW KESSLER DR UNIT 7300
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64081-2283
Mailing Address - Country:US
Mailing Address - Phone:816-382-9208
Mailing Address - Fax:
Practice Address - Street 1:728 CORRINGTON DR
Practice Address - Street 2:
Practice Address - City:RAYMORE
Practice Address - State:MO
Practice Address - Zip Code:64083-8271
Practice Address - Country:US
Practice Address - Phone:816-382-9208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-12
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-79257-051363L00000X
MO2019006499363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner