Provider Demographics
NPI:1760105274
Name:ABBEN, SARA NICOLE (APRN)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:NICOLE
Last Name:ABBEN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:NICOLE
Other - Last Name:LADNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:12913 W 77TH ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66216-3203
Mailing Address - Country:US
Mailing Address - Phone:913-620-8990
Mailing Address - Fax:
Practice Address - Street 1:7201 E 147TH ST
Practice Address - Street 2:
Practice Address - City:GRANDVIEW
Practice Address - State:MO
Practice Address - Zip Code:64030-4204
Practice Address - Country:US
Practice Address - Phone:816-246-0200
Practice Address - Fax:913-495-3730
Is Sole Proprietor?:No
Enumeration Date:2022-09-20
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023017784363LF0000X
KS53-81542-042363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily