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General NPI Number Information
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NPI Number | 1760204598
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Entity Type | Individual
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Provider Name | SHERRY LYNNE LEITCH ARNP, FNP-BC, DNP
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Gender | Female
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 12/21/2025
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Provider Practice Location Address
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Address Line | 1601 NW 114TH ST STE 255
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City | CLIVE
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State | IA
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Zip | 50325-7036
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Country | US
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Telephone | 515-461-9780
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Fax | 515-461-9779
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Provider Business Mailing Address
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Address Line | 1601 NW 114TH ST STE 255
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City | CLIVE
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State | IA
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Zip | 50325-7036
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Country | US
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Telephone | 515-461-9780
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Fax | 515-461-9779
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A182085
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License Number State | IA
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