Basic Information
Provider Information
NPI: 1841629490
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PEARMAN
FirstName: SARAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 328
Address2:  
City: SIOUX CITY
State: IA
PostalCode: 511020328
CountryCode: US
TelephoneNumber: 7122795830
FaxNumber: 7122795883
Practice Location
Address1: 111 MAIN ST
Address2:  
City: KINGSLEY
State: IA
PostalCode: 510287725
CountryCode: US
TelephoneNumber: 7123782921
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/04/2013
LastUpdateDate: 11/06/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XA135183IAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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