Provider Demographics
NPI:1306606611
Name:FOX, SYDNEY MARIE (ARNP)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:MARIE
Last Name:FOX
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 1:2515 CYCLONE DR STE B
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701-9715
Mailing Address - Country:US
Mailing Address - Phone:319-888-8044
Mailing Address - Fax:
Practice Address - Street 1:3315 JOHN F KENNEDY RD STE E
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-1092
Practice Address - Country:US
Practice Address - Phone:319-888-8044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-21
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA178325363L00000X
WI15137-33363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner