Provider Demographics
NPI:1750699864
Name:ROEDIGER, SARA E (DNP, RN, FNP-BC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:E
Last Name:ROEDIGER
Suffix:
Gender:F
Credentials:DNP, RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 PLATTE FALLS RD
Mailing Address - Street 2:
Mailing Address - City:PLATTE CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64079-7334
Mailing Address - Country:US
Mailing Address - Phone:816-858-2713
Mailing Address - Fax:816-431-5615
Practice Address - Street 1:1301 PLATTE FALLS RD
Practice Address - Street 2:
Practice Address - City:PLATTE CITY
Practice Address - State:MO
Practice Address - Zip Code:64079-7334
Practice Address - Country:US
Practice Address - Phone:168-582-7138
Practice Address - Fax:816-431-5615
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017030263363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily