Provider Demographics
NPI:1487452702
Name:WANSING, SARAH LORRAINE (MSN, FNP-BC PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:LORRAINE
Last Name:WANSING
Suffix:
Gender:F
Credentials:MSN, FNP-BC PMHNP-BC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:LORRAINE
Other - Last Name:MEENEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19499 225TH RD
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MO
Mailing Address - Zip Code:65340-4435
Mailing Address - Country:US
Mailing Address - Phone:660-815-2573
Mailing Address - Fax:
Practice Address - Street 1:2305 S 65 HIGHWAY
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MO
Practice Address - Zip Code:65340
Practice Address - Country:US
Practice Address - Phone:660-886-7431
Practice Address - Fax:660-831-3317
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2022026881363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health