Healthcare Provider Details

I. General information

NPI: 1942136379
Provider Name (Legal Business Name): SARAH ELIZABETH DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4240 156TH ST
URBANDALE IA
50323-2203
US

IV. Provider business mailing address

17532 BERKSHIRE PKWY
CLIVE IA
50325-2627
US

V. Phone/Fax

Practice location:
  • Phone: 515-987-3585
  • Fax:
Mailing address:
  • Phone: 619-341-9729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number120796
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: