Sara A. Williams, Nurse Practitioner Primary Care, LLC
Nurse Practitioner, Primary Care in Fenton, MO. Organization (NPI-2).
NPI number1154772713
StatusActive
Last updated in NPPESJun 24, 2016
Details
- NPI
- 1154772713
- Entity type
- Organization (NPI-2)
- Legal business name
- Sara A. Williams, Nurse Practitioner Primary Care, LLC
- Organization subpart
- No
- Enumeration date
- Jun 24, 2016
- Last updated
- Jun 24, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 2015033113 | MO | Yes |
Other names
- Sara, NP Primary Care (Doing Business As)
Practice location
1923 Waybridge LnFenton, MO 63026-5425
Phone 314-261-6761
Mailing address
1923 Waybridge LnFenton, MO 63026-5425
Phone 314-261-6761
Authorized official
Sara A Williams
Sole Proprietor/Owner
3142616761
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