Individual provider · Type 1 NPI

Stacy Amanda Van Heeswyk, PA-C

Medical Physician Assistant · Des Moines, IA

NPI number 1992332563 Active

Practice location

925 Porter Ave
Des Moines, IA 50315-7267

Mailing address

4924 Beech Blvd
Pleasant Hill, IA 50327-9038

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1992332563

Stacy Amanda Van Heeswyk, PA-C's National Provider Identifier is 1992332563, issued on Mar 24, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Des Moines, IA. The record was last updated on Dec 10, 2025.