Provider Demographics
NPI:1407630155
Name:MARTIN, SARAH ANN (ARNP FNP-BC)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:ANN
Last Name:MARTIN
Suffix:
Gender:F
Credentials:ARNP FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 W 115TH PL UNIT 312
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-2466
Mailing Address - Country:US
Mailing Address - Phone:620-453-0023
Mailing Address - Fax:
Practice Address - Street 1:5200 W 115TH PL UNIT 312
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-2466
Practice Address - Country:US
Practice Address - Phone:620-453-0023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-82160-032363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily