Healthcare Provider Details

I. General information

NPI: 1366895013
Provider Name (Legal Business Name): SARAH JO HUNT RN, APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2016
Last Update Date: 03/05/2024
Certification Date: 03/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 LINCOLN ST NE
LE MARS IA
51031-3311
US

IV. Provider business mailing address

4195 390TH ST
HOSPERS IA
51238-8005
US

V. Phone/Fax

Practice location:
  • Phone: 712-546-7871
  • Fax:
Mailing address:
  • Phone: 605-681-0926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA172776
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR048108
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: