Provider Demographics
NPI:1508484973
Name:SANDERS, ANNETTE ELIZABETH (FNP-C)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:ELIZABETH
Last Name:SANDERS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10608 NW 86TH TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64153-3688
Mailing Address - Country:US
Mailing Address - Phone:816-308-3900
Mailing Address - Fax:
Practice Address - Street 1:10608 NW 86TH TER
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64153-3688
Practice Address - Country:US
Practice Address - Phone:816-308-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-11
Last Update Date:2022-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS77406163W00000X
KS53-79609-062363LF0000X
MO2021037376363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0Medicaid