Provider Demographics
NPI:1891713467
Name:KREGER, SARAH (APRN/NP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:KREGER
Suffix:
Gender:F
Credentials:APRN/NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 CUSTER
Mailing Address - Street 2:
Mailing Address - City:NESS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67560
Mailing Address - Country:US
Mailing Address - Phone:785-798-2233
Mailing Address - Fax:785-798-3302
Practice Address - Street 1:312 CUSTER
Practice Address - Street 2:
Practice Address - City:NESS CITY
Practice Address - State:KS
Practice Address - Zip Code:67560
Practice Address - Country:US
Practice Address - Phone:785-798-2233
Practice Address - Fax:785-798-3302
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS66840363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100321860EMedicaid
KSS62351Medicare UPIN