Provider Demographics
NPI:1639984560
Name:SAUL, NATHISHA (APRN)
Entity type:Individual
Prefix:
First Name:NATHISHA
Middle Name:
Last Name:SAUL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 AMHERST AVE
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-3043
Mailing Address - Country:US
Mailing Address - Phone:785-539-8700
Mailing Address - Fax:785-776-9788
Practice Address - Street 1:2900 AMHERST AVE
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66503-3043
Practice Address - Country:US
Practice Address - Phone:785-539-8700
Practice Address - Fax:785-776-9788
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSTMP-162771363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health