Individual provider · Type 1 NPI

Sara Shaw, NP

Nurse Practitioner · St. Louis, MO

NPI number 1396125159 Active

Practice location

4625 Lindell Blvd Fl 2
St. Louis, MO 63108-3739

Mailing address

16240 Foster St
Stilwell, KS 66085-8418

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X76822 (KS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1396125159

Sara Shaw, NP's National Provider Identifier is 1396125159, issued on Jun 5, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 26, 2026.