Provider Demographics
NPI:1316096449
Name:KNEUSS, SARA ANN (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:ANN
Last Name:KNEUSS
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:ANN
Other - Last Name:RAMSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1684 E BOSTON ST STE 102
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-6220
Mailing Address - Country:US
Mailing Address - Phone:480-448-2411
Mailing Address - Fax:480-476-8718
Practice Address - Street 1:1684 E BOSTON ST STE 102
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-6220
Practice Address - Country:US
Practice Address - Phone:480-476-8718
Practice Address - Fax:480-448-2411
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN 138330363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily