Provider Demographics
NPI:1336575885
Name:FITZMAURICE, SARAH MAE (APRN, NP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MAE
Last Name:FITZMAURICE
Suffix:
Gender:F
Credentials:APRN, NP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MAE
Other - Last Name:MCNIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2021 W 48TH TER
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD HILLS
Mailing Address - State:KS
Mailing Address - Zip Code:66205-1918
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-7220
Practice Address - Country:US
Practice Address - Phone:913-588-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-16
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5376071112363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner