Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 2017033626 | MO |
N | 363LN0000X | Nurse Practitioner - Neonatal | 54302 | ID |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 54302 | ID |
NPI | 1235580374 |
---|---|
Provider Name | Sarah Elizabeth Mead |
First Address | Kansas City, MO 64108-4619 |
Second Address | Kansas City, MO 64108-4619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2016 |
Last Update Date | 17/03/2018 |