Healthcare Provider Details

I. General information

NPI: 1730528225
Provider Name (Legal Business Name): SARA CATHRYN OLMSTEAD ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2013
Last Update Date: 02/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 3RD AVE SE
CEDAR RAPIDS IA
52403-4009
US

IV. Provider business mailing address

1201 3RD AVE SE
CEDAR RAPIDS IA
52403-4009
US

V. Phone/Fax

Practice location:
  • Phone: 319-730-7300
  • Fax: 319-730-7368
Mailing address:
  • Phone: 319-730-7300
  • Fax: 319-730-7368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberF110116
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: