Individual provider · Type 1 NPI

Blake Wray Standifer, ARNP

Nurse Practitioner · Des Moines, IA

NPI number 1194398818 Active

Practice location

411 Laurel St Ste A250
Des Moines, IA 50314-3029

Call (515) 235-5000 Map

Fax (515) 288-6713

Mailing address

PO Box 9170
Des Moines, IA 50306-9170

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XH164471 (IA)
Acute Care Nurse Practitioner 363LA2100XH164471 (IA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1194398818

Blake Wray Standifer, ARNP's National Provider Identifier is 1194398818, issued on Jul 20, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Des Moines, IA. The record was last updated on Oct 5, 2021.