Provider Demographics
NPI:1851833347
Name:PAYNE, SARAH ANNE (APRN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ANNE
Last Name:PAYNE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048-1422
Mailing Address - Country:US
Mailing Address - Phone:913-651-8860
Mailing Address - Fax:913-682-4409
Practice Address - Street 1:818 N 7TH ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-1422
Practice Address - Country:US
Practice Address - Phone:913-651-8860
Practice Address - Fax:913-682-4409
Is Sole Proprietor?:No
Enumeration Date:2016-11-15
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-77378-022363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care