Provider Demographics
NPI:1558025064
Name:SAPPERSTEIN, SARAH COHEN (PNP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:COHEN
Last Name:SAPPERSTEIN
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:MICHELLE
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:5471 DR MARTIN LUTHER KING DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63112-4265
Mailing Address - Country:US
Mailing Address - Phone:314-367-5820
Mailing Address - Fax:
Practice Address - Street 1:654 SEA ANCHOR DR UNIT 2306
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-2896
Practice Address - Country:US
Practice Address - Phone:314-283-0932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-30
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95150680163WP0200X
MO2023043291363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95150680OtherRN LISCENSURE