Healthcare Provider Details

I. General information

NPI: 1487215588
Provider Name (Legal Business Name): SIERRA WEUVE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SIERRA WALTER

II. Dates (important events)

Enumeration Date: 06/28/2019
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 NW REINHART DR
ANKENY IA
50023-7935
US

IV. Provider business mailing address

712 NW REINHART DR
ANKENY IA
50023-7935
US

V. Phone/Fax

Practice location:
  • Phone: 515-490-0943
  • Fax:
Mailing address:
  • Phone: 515-490-0943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number18236-33
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number41542
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number16964
License Number StateCT
# 4
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA155264
License Number StateIA
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number116753
License Number StateNE
# 6
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209.035224
License Number StateIL
# 7
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number228458
License Number StateOK
# 8
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberC-APN.0106377-C-NP
License Number StateCO
# 9
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2026017996
License Number StateMO
# 10
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024197028
License Number StateVA
# 11
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0041692
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: