Individual provider · Type 1 NPI
Sarah Forge
Pediatric Nurse Practitioner · Kansas City, MO
NPI number
1033454095
Active
Practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Mailing address
10033 Wedd Dr
Overland Park, KS 66212-5427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 53-46053-042 (KS) |
| Pediatric Nurse Practitioner | 363LP0200X | 2011030338 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1033454095
Sarah Forge's National Provider Identifier is 1033454095, issued on Dec 3, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Kansas City, MO. The record was last updated on Dec 3, 2012.