Provider Demographics
NPI:1013476704
Name:STINEBAUGH, SARAH DIANE (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:DIANE
Last Name:STINEBAUGH
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1702 S OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762-5738
Mailing Address - Country:US
Mailing Address - Phone:620-240-9899
Mailing Address - Fax:620-710-7630
Practice Address - Street 1:1702 S OLIVE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-5738
Practice Address - Country:US
Practice Address - Phone:620-704-7789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-13
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS78630363LF0000X
KS53-78630-081363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily