Individual provider · Type 1 NPI

Alisa Mae Bengen

Student in an Organized Health Care Education/Training Program · West Des Moines, IA

NPI number 1104733427 Active

Practice location

8025 Grand Ave
West Des Moines, IA 50266-5360

Call (515) 271-1569 Map

Mailing address

1127 Algonquin Dr
Cedar Falls, IA 50613-8163

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104733427

Alisa Mae Bengen's National Provider Identifier is 1104733427, issued on Aug 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Des Moines, IA. The record was last updated on Aug 24, 2026.