Provider Demographics
NPI:1639832488
Name:DOHERTY, SARA ELIZABETH (MSN, ARNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ELIZABETH
Last Name:DOHERTY
Suffix:
Gender:F
Credentials:MSN, ARNP, FNP-C
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Other - Middle Name:
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Mailing Address - Street 1:2200 SW 6TH AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1707
Mailing Address - Country:US
Mailing Address - Phone:785-354-8518
Mailing Address - Fax:785-354-1255
Practice Address - Street 1:801 N MUR LEN RD STE 112
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1794
Practice Address - Country:US
Practice Address - Phone:913-738-8033
Practice Address - Fax:913-738-8034
Is Sole Proprietor?:No
Enumeration Date:2021-10-19
Last Update Date:2023-03-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IAA165448363L00000X
KS5379917062363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner