Basic Information
| Provider Information | |||||||||
| NPI: | 1841808094 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BAKRI | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | J | ||||||||
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| Mailing Information | |||||||||
| Address1: | 810 RAVENHILL DR | ||||||||
| Address2: | |||||||||
| City: | ATCHISON | ||||||||
| State: | KS | ||||||||
| PostalCode: | 660029204 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7854862468 | ||||||||
| FaxNumber: | 7854862371 | ||||||||
| Practice Location | |||||||||
| Address1: | 810 RAVENHILL DR | ||||||||
| Address2: | |||||||||
| City: | ATCHISON | ||||||||
| State: | KS | ||||||||
| PostalCode: | 660029204 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9133677300 | ||||||||
| FaxNumber: | 9136742030 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2020 | ||||||||
| LastUpdateDate: | 02/23/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 02/23/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 79499 | KS | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.