Provider Demographics
NPI:1295714814
Name:SADLER, HELEN M (ARNP)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:M
Last Name:SADLER
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 1:146 W DALE ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50703-1901
Mailing Address - Country:US
Mailing Address - Phone:319-234-4431
Mailing Address - Fax:319-235-5004
Practice Address - Street 1:146 W DALE ST
Practice Address - Street 2:SUITE 401
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50703-1901
Practice Address - Country:US
Practice Address - Phone:319-234-4431
Practice Address - Fax:319-235-5004
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA069076363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0420000Medicaid
IA2420000Medicaid
IA1420000Medicaid
IA2420000Medicaid
IA0420000Medicaid