Basic Information
| Provider Information | |||||||||
| NPI: | 1689803553 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KANGAS | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DNP CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2611 DEKALB PIKE APT 207 | ||||||||
| Address2: | |||||||||
| City: | NORRISTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194011884 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2163921089 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 9900 BREN ROAD EAST | ||||||||
| Address2: | MAIL ROUTE MN 008-B213 | ||||||||
| City: | MINNETONKA | ||||||||
| State: | MN | ||||||||
| PostalCode: | 55343 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8662979232 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2009 | ||||||||
| LastUpdateDate: | 06/26/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/26/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WM0705X | RN569141 | PA | N | Nursing Service Providers | Registered Nurse | Medical-Surgical | 363LA2200X | SP009759 | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.