Provider Demographics
NPI:1760889414
Name:SAGER, LAURA (RN)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:SAGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BOX 92
Mailing Address - Street 2:6030 FIRST STREET
Mailing Address - City:DEWAR
Mailing Address - State:IA
Mailing Address - Zip Code:50623
Mailing Address - Country:US
Mailing Address - Phone:319-231-9956
Mailing Address - Fax:
Practice Address - Street 1:6030 FIRST STREET
Practice Address - Street 2:BOX 92
Practice Address - City:DEWAR
Practice Address - State:IA
Practice Address - Zip Code:50623
Practice Address - Country:US
Practice Address - Phone:319-231-9956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-24
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA086365163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse