Provider Demographics
NPI:1659178028
Name:SAKURA HEALTH AND WELLNESS, PROFESSIONAL LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:SAKURA HEALTH AND WELLNESS, PROFESSIONAL LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:316-247-2234
Mailing Address - Street 1:1224 N ANDOVER RD STE 300
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-9310
Mailing Address - Country:US
Mailing Address - Phone:316-247-2234
Mailing Address - Fax:316-206-4104
Practice Address - Street 1:1224 N ANDOVER RD STE 300
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-9310
Practice Address - Country:US
Practice Address - Phone:316-247-2234
Practice Address - Fax:316-206-4104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty