Healthcare Provider Details

I. General information

NPI: 1790937308
Provider Name (Legal Business Name): SANDRA R. SCHOLTEN APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2008
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 TURNBERRY DR STE 4
NORWALK IA
50211-9789
US

IV. Provider business mailing address

1300 TURNBERRY DR STE 4
NORWALK IA
50211-9789
US

V. Phone/Fax

Practice location:
  • Phone: 515-994-8255
  • Fax: 515-994-8217
Mailing address:
  • Phone: 515-994-8255
  • Fax: 515-994-8217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG185897
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberA125139
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: