Healthcare Provider Details

I. General information

NPI: 1225414576
Provider Name (Legal Business Name): SARA ELIZABETH KUHN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2015
Last Update Date: 06/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 W 3RD ST S
NEWTON IA
50208-3740
US

IV. Provider business mailing address

PO BOX 124
NEWTON IA
50208-0124
US

V. Phone/Fax

Practice location:
  • Phone: 641-521-5557
  • Fax: 641-787-0140
Mailing address:
  • Phone: 641-425-9073
  • Fax: 641-787-0140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG049183
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: