Organization · Type 2 NPI
La Clinica Medica Latina of Des Moines LLC
Nurse Practitioner · Des Moines, IA
Practice location
1300 Des Moines St, Suite 106
Des Moines, IA 50309-5502
Fax (515) 262-0045
Mailing address
2213 Grand Ave
Des Moines, IA 50312-5305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 25966 (IA) |
| Nurse Practitioner Primary | 363L00000X | A098023 (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…
3 other providers at this address
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About NPI 1306965348
La Clinica Medica Latina of Des Moines LLC's National Provider Identifier is 1306965348, issued on Mar 29, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Des Moines, IA. The record was last updated on Mar 23, 2011.