Individual
SARA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
741 SOUTH ST, JESUP, IA 50648-9397
(319) 252-8718
Mailing address
4451 W BENNINGTON RD, CEDAR FALLS, IA 50613-9700
(319) 290-6245
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G112010
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R48437
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841603305
—
IA
Enumeration date
06/03/2014
Last updated
03/31/2020
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