Provider Demographics
NPI:1366280448
Name:STEELE, SARA MARIE (RN)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:MARIE
Last Name:STEELE
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 1:114 E AMES ST
Mailing Address - Street 2:
Mailing Address - City:RUSSELL
Mailing Address - State:IA
Mailing Address - Zip Code:50238-1013
Mailing Address - Country:US
Mailing Address - Phone:772-577-0287
Mailing Address - Fax:
Practice Address - Street 1:1111 N QUINCY AVE STE 127
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-3864
Practice Address - Country:US
Practice Address - Phone:641-832-6289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA134810163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty