Provider Demographics
NPI:1437950136
Name:OERTHER, SARAH EILEEN (FNP-BC, RN)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:EILEEN
Last Name:OERTHER
Suffix:
Gender:F
Credentials:FNP-BC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 LOVERS LN
Mailing Address - Street 2:
Mailing Address - City:ROLLA
Mailing Address - State:MO
Mailing Address - Zip Code:65401-3622
Mailing Address - Country:US
Mailing Address - Phone:573-465-8319
Mailing Address - Fax:
Practice Address - Street 1:200 LOVERS LN
Practice Address - Street 2:
Practice Address - City:ROLLA
Practice Address - State:MO
Practice Address - Zip Code:65401-3622
Practice Address - Country:US
Practice Address - Phone:573-465-8319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-20
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010017332163W00000X
MO2025010749363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty