Provider Demographics
NPI:1700599081
Name:SPEAKER, SARA D (NP)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:D
Last Name:SPEAKER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:SARA
Other - Middle Name:D
Other - Last Name:IRBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:907 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:MO
Mailing Address - Zip Code:64060-7542
Mailing Address - Country:US
Mailing Address - Phone:816-808-7113
Mailing Address - Fax:
Practice Address - Street 1:907 MAPLE ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:MO
Practice Address - Zip Code:64060-7542
Practice Address - Country:US
Practice Address - Phone:816-808-7113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022047900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily