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NPI Code Detail

MEDICARE: SARAH RAE DEVORE ARNP

MEDICARE: SARAH RAE DEVORE 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
1363L00000XNurse PractitionerA103990IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
236112OTHERIAWELLMARK INS PLAN
3421417307H9OTHERIAJOHN DEERE HEALTH INS

General Provider Information

NPI Number : 1750335212
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH RAE DEVORE ARNP
Provider Business Mailing Address
First Line : 1600 1ST ST E
Second Line :
City : INDEPENDENCE
State : IA
Zip : 50644-3155
Country : US
Telephone Number : 319-332-0999
Fax Number :
Provider Business Practice Location Address
First Line : 1600 1ST ST E
Second Line :
City : INDEPENDENCE
State : IA
Zip : 50644-3155
Country : US
Telephone Number : 319-332-0999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 01/04/2021

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Directions to “ SARAH RAE DEVORE ARNP” Practice Location

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