Individual
SARAH RAE DEVORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1600 1ST ST E, INDEPENDENCE, IA 50644-3155
(319) 332-0999
Mailing address
1600 1ST ST E, INDEPENDENCE, IA 50644-3155
(319) 332-0999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A103990
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450155
—
IA
01
—
36112
WELLMARK INS PLAN
IA
01
—
421417307H9
JOHN DEERE HEALTH INS
IA
Enumeration date
05/20/2006
Last updated
01/04/2021
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