Diane E Clevenger, ARNP | |
3509 E 29th St, Des Moines, IA 50317-4253 | |
(515) 248-1600 | |
(515) 248-1610 |
Full Name | Diane E Clevenger |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 3509 E 29th St, Des Moines, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356315824 | NPI | - | NPPES |
1436535 | Medicaid | IA | |
0436535 | Medicaid | IA | |
1356315824 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | F056547 (Iowa) | Secondary |
367A00000X | Advanced Practice Midwife | F056547 (Iowa) | Primary |
Entity Name | Primary Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588692487 PECOS PAC ID: 8426966755 Enrollment ID: O20031106000487 |
Mailing Address | Practice Location Address |
---|---|
Diane E Clevenger, ARNP 1200 University Ave Ste 200, Des Moines, IA 50314-2355 Ph: (515) 248-1447 | Diane E Clevenger, ARNP 3509 E 29th St, Des Moines, IA 50317-4253 Ph: (515) 248-1600 |
Ms. Dana Lynne Ericson, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1250 39th St, Des Moines, IA 50311 Phone: 515-279-3320 Fax: 515-279-9619 | |
Ms. Cynthia Anne Hyde, ARNP CNM MPH Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2679 Maury St, Des Moines, IA 50317 Phone: 515-244-6162 Fax: 515-266-3105 | |
Sarah M. Schoen, CNM, IBCLC Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3509 E 29th St, Des Moines, IA 50317 Phone: 515-248-1600 Fax: 515-248-1610 | |
Dr. Sarah Bradbury, C.N.M. Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1801 Hickman Rd, Des Moines, IA 50314 Phone: 155-282-2340 Fax: 515-282-7860 | |
Katie Elizabeth Bowling, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3509 E 29th St, Des Moines, IA 50317 Phone: 515-248-1600 | |
Rebecca Jean Schleuger-valadao, A.R.N.P. Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 733 19th St, Des Moines, IA 50314 Phone: 515-266-6712 | |
Pamela J Jach, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 330 Laurel St Ste 2300, Des Moines, IA 50314 Phone: 515-643-6869 Fax: 515-643-6899 |