Provider Demographics
NPI:1740156397
Name:USSERY, SARAH ELAINE (CNM, ARNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ELAINE
Last Name:USSERY
Suffix:
Gender:F
Credentials:CNM, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2803 ZENITH AVE
Mailing Address - Street 2:
Mailing Address - City:SPIRIT LAKE
Mailing Address - State:IA
Mailing Address - Zip Code:51360-7194
Mailing Address - Country:US
Mailing Address - Phone:712-346-8458
Mailing Address - Fax:
Practice Address - Street 1:3305 BERGQUIST AVE
Practice Address - Street 2:
Practice Address - City:SPIRIT LAKE
Practice Address - State:IA
Practice Address - Zip Code:51360-7679
Practice Address - Country:US
Practice Address - Phone:712-339-6024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAB187550367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife