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Sara Revelle, FNP
Family Nurse Practitioner in Columbia, Missouri
NPI 1124104831

Sara Revelle is a Family Nurse Practitioner based in Saint Louis, MO and is specialized in Family. Sara Revelle practices in Columbia, MO and has the professional credentials of FNP. The NPI Number for Sara Revelle is 1124104831 and holds a License No. 096829 (Missouri).

The current practice location address for Sara Revelle is 900 W Nifong Ste 101, Columbia, MO and can be reached out via phone at 573-499-9009 and via fax at 573-499-4400.

Location: 900 W Nifong Ste 101, Columbia, MO, 63141-8573
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124104831
Provider Name
Sara Revelle
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
900 W Nifong Ste 101, Columbia, MO, 63141-8573
Phone Number
573-499-9009
Fax Number
573-499-4400
Provider Enumeration Date
10/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
096829 01 MO STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
900 W Nifong Ste 101
City
Columbia
State
Missouri
Zip
65203-3032
Phone Number
573-499-9009
Fax Number
573-499-4400
person
Provider Business Mailing Address Details
Address
900 W Nifong Ste 101
City
Columbia
State
Missouri
Zip
65203-3032
Phone Number
573-499-9009
Fax Number
573-499-4400
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
096829 (Missouri)
Definition
Definition to come...
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