Provider Demographics
NPI:1861940249
Name:MCINTOSH, SARA M (ARNP)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:M
Last Name:MCINTOSH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 BLUFF ST
Mailing Address - Street 2:
Mailing Address - City:WINNEBAGO
Mailing Address - State:NE
Mailing Address - Zip Code:68071-9703
Mailing Address - Country:US
Mailing Address - Phone:402-745-3950
Mailing Address - Fax:402-243-1561
Practice Address - Street 1:225 BLUFF ST
Practice Address - Street 2:
Practice Address - City:WINNEBAGO
Practice Address - State:NE
Practice Address - Zip Code:68071-9703
Practice Address - Country:US
Practice Address - Phone:402-745-3950
Practice Address - Fax:402-243-1561
Is Sole Proprietor?:No
Enumeration Date:2016-09-14
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA107317363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner