Provider Demographics
NPI:1558795252
Name:WOLFE, SARA LYNN (ARNP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:LYNN
Last Name:WOLFE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:LYNN
Other - Last Name:BERDING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:621 S ILLINOIS AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-5489
Mailing Address - Country:US
Mailing Address - Phone:641-428-3041
Mailing Address - Fax:641-428-3059
Practice Address - Street 1:520 S PIERCE AVE STE 150
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-2711
Practice Address - Country:US
Practice Address - Phone:641-494-5000
Practice Address - Fax:641-494-5028
Is Sole Proprietor?:No
Enumeration Date:2013-08-29
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAH109065363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner