Healthcare Provider Details

I. General information

NPI: 1992756043
Provider Name (Legal Business Name): SARA L ROOS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 30TH ST VA CENTRAL IOWA HEALTH CARE
DES MOINES IA
50310-5876
US

IV. Provider business mailing address

3203 WOODLAND AVE
WEST DES MOINES IA
50266-2037
US

V. Phone/Fax

Practice location:
  • Phone: 515-699-5999
  • Fax:
Mailing address:
  • Phone: 515-225-3616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number098606
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA-098606
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: