Provider Demographics
NPI:1487667762
Name:SARCONE, JULIANNE (ARNP)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:
Last Name:SARCONE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:SARCONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:PO BOX 1475
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50305-1475
Mailing Address - Country:US
Mailing Address - Phone:515-643-7000
Mailing Address - Fax:515-643-7001
Practice Address - Street 1:25 W HICKMAN RD
Practice Address - Street 2:
Practice Address - City:WAUKEE
Practice Address - State:IA
Practice Address - Zip Code:50263-5020
Practice Address - Country:US
Practice Address - Phone:515-643-7000
Practice Address - Fax:515-643-7001
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA077205363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAIA01DDOtherJOHN DEERE
IA081747OtherHEALTH ALLIANCE
IA09289OtherWELLMARK
IAS64630Medicare UPIN
IA20868001Medicare PIN
IA70925OtherWELLMARK BLUE SHIELD
IA72011OtherWELLMARK BLUE SHIELD
IAI7934Medicare ID - Type Unspecified