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1124104831
SARA REVELLE
COLUMBIA, MO
NPI
1124104831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 096829)
Enumeration Date
2006-10-27
Last Update Date
2016-01-26
Business Address
-- SARA REVELLE fnp
900 W NIFONG STE 101
COLUMBIA, MO 65203-3032
Phone number: 573-499-9009
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Mailing Address
-- SARA REVELLE fnp
670 MASON RIDGE CENTER DR STE 300
SAINT LOUIS, MO 63141-8573
Phone number: 573-499-9009
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