Healthcare Provider Details

I. General information

NPI: 1902115652
Provider Name (Legal Business Name): SARAH L BEATTIE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2010
Last Update Date: 05/10/2024
Certification Date: 05/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6950 NE 14TH ST STE 36
ANKENY IA
50023-8903
US

IV. Provider business mailing address

6950 NE 14TH ST STE 36
ANKENY IA
50023-8903
US

V. Phone/Fax

Practice location:
  • Phone: 515-289-1515
  • Fax: 515-289-1511
Mailing address:
  • Phone: 515-289-1515
  • Fax: 515-289-1511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number00000
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG108504
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: