Gudenkauf, Sara Marie
Gudenkauf, Sara Marie is an individual health care provider with primary practice located at 5409 Avenue O , Fort Madison IA 52627-9601. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gudenkauf, Sara Marie can be contacted via phone (319) 376-2134.Contact Information
Primary practice address
5409 Avenue O
Fort Madison IA 52627-9601
Phone: (319) 376-2134
Fax: (319) 376-2188
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 111168 | Nebraska |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A138622 | Iowa |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | H138622 | Iowa |
Profile Details
NPI number | 1285942359 |
---|---|
LBN Legal business name | Gudenkauf, Sara Marie |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 22nd, 2010 |
Last updated | Oct 29th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285942359 | NPPES |
Nebraska | Other | 098939002 | MEDICARE PTAN |
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