Provider Demographics
NPI:1659248615
Name:DRURY, SARA RENEE
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:RENEE
Last Name:DRURY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 315
Mailing Address - Street 2:
Mailing Address - City:LE GRAND
Mailing Address - State:IA
Mailing Address - Zip Code:50142-0315
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:208 DRURY LN
Practice Address - Street 2:
Practice Address - City:LE GRAND
Practice Address - State:IA
Practice Address - Zip Code:50142-7708
Practice Address - Country:US
Practice Address - Phone:641-758-1211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-22
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA137575163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse