Provider Demographics
NPI:1104293570
Name:FEES, SARAH MICHELLE (ARNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MICHELLE
Last Name:FEES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:MICHELLE
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:515-457-2960
Mailing Address - Fax:515-457-2961
Practice Address - Street 1:8605 CHAMBERY BLVD
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131
Practice Address - Country:US
Practice Address - Phone:515-457-2960
Practice Address - Fax:515-457-2961
Is Sole Proprietor?:No
Enumeration Date:2015-09-01
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA127732363L00000X, 363LP0200X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics