Most Relevant Information
Provider Data
| NPI Number: | 1003452764 |
| Provider Name: | SARAH ANNE HEAVEY ACAGNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 2019043933 |
Most Important Dates
| Enumeration Date: | 11/18/2019 |
| Last Updated: | 01/24/2020 |
Provider Practice Location
4300 WORNALL ROAD
STE 2000
KANSAS CITY
MO
64111
Practice Location Phone/Fax
| Phone: | 8169311833 |
| Fax: |
Provider Mailing Location
901 E 104TH ST
MAILSTOP 400S
KANSAS CITY
MO
641316002
Provider Mailing Phone/Fax
| Phone: | 8165999261 |
| Fax: |