Provider Demographics
NPI:1346645793
Name:VANEFFEN, SARA ANN (ARNP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ANN
Last Name:VANEFFEN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 N 12TH ST
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE CENTER
Mailing Address - State:IA
Mailing Address - Zip Code:50115-1549
Mailing Address - Country:US
Mailing Address - Phone:641-332-2201
Mailing Address - Fax:641-332-3856
Practice Address - Street 1:710 N 12TH ST
Practice Address - Street 2:
Practice Address - City:GUTHRIE CENTER
Practice Address - State:IA
Practice Address - Zip Code:50115-1549
Practice Address - Country:US
Practice Address - Phone:641-332-2201
Practice Address - Fax:641-332-3856
Is Sole Proprietor?:No
Enumeration Date:2014-10-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA109195363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner