| Blank Childrens Hosptial | |
|
406 Sw School St Ankeny IA 50023-3056 | |
| (515) 289-3960 | |
| Not Available |
| Full Name | Blank Childrens Hosptial |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 406 Sw School St, Ankeny, Iowa |
| Authorized Official Name and Position | Lindsey Marie Fredericksen (PEDIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 5157716691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blank Childrens Hosptial 1200 Pleasant St Des Moines IA 50309-1406 Ph: () - | Blank Childrens Hosptial 406 Sw School St Ankeny IA 50023-3056 Ph: (515) 289-3960 |
| NPI Number | 1750633087 |
|---|---|
| Provider Enumeration Date | 10/10/2012 |
| Last Update Date | 10/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750633087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | C-119097 (Iowa) | Primary |
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