MEDICARE: SHARON YEAROUS ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	090541	IA

General Provider Information

NPI Number	:	1639160724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON YEAROUS ARNP

Provider Business Mailing Address
First Line	:	372 WILLSHIRE CT NE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-6921
Country	:	US
Telephone Number	:	319-447-9683
Fax Number	:

Provider Business Practice Location Address
First Line	:	6300 42ND ST NE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52411-7755
Country	:	US
Telephone Number	:	319-294-6635
Fax Number	:	319-294-6712

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2005
Last Update Date	:	07/08/2007

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