MEDICARE: SARAH ORCHARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	A116755	IA

General Provider Information

NPI Number	:	1518374636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ORCHARD

Provider Business Mailing Address
First Line	:	1316 S MAIN ST
Second Line	:
City	:	CLARION
State	:	IA
Zip	:	50525-2019
Country	:	US
Telephone Number	:	515-532-2811
Fax Number	:	515-532-9336

Provider Business Practice Location Address
First Line	:	401 S 17TH ST
Second Line	:
City	:	CLEAR LAKE
State	:	IA
Zip	:	50428-2304
Country	:	US
Telephone Number	:	641-357-1800
Fax Number	:	641-357-1803

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2014
Last Update Date	:	09/21/2024

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Directions to “ SARAH ORCHARD ” Practice Location

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