Organization · Type 2 NPI
Blank Childrens Hospital
Pediatric Nurse Practitioner · Pleasant Hill, IA
NPI number
1063758605
Active
Practice location
6540 NE 12th Ave
Pleasant Hill, IA 50327-8828
Mailing address
1200 Pleasant St
Des Moines, IA 50309-1406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | C-119097 (IA) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1063758605
Blank Childrens Hospital's National Provider Identifier is 1063758605, issued on Jan 1, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Pleasant Hill, IA. The record was last updated on Jan 1, 2013.