|Practice Location|| 1111 6th Ave, Main 3, Des Moines, IA 50314, US |
|Practice Location Phone||515-247-3330|
|Practice Location Fax||515-643-2219|
|Specialty In||Nurse Practitioner|
|Medical School||University Of Missouri, Kansas City, School Of Medicine|
|Enumeration Date ? ||Feb 11, 2015|
|Last Update Date ? ||Jun 13, 2018|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.