| Mercy Clinics Nurse Practitioners | |
|
1111 6th Ave. 2nd Floor Des Moines IA 50314-2610 | |
| (515) 643-7238 | |
| Not Available |
| Full Name | Mercy Clinics Nurse Practitioners |
|---|---|
| Speciality | Clinic/center |
| Location | 1111 6th Ave., Des Moines, Iowa |
| Authorized Official Name and Position | Julie Cox (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5156430724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinics Nurse Practitioners Po Box 1475 Des Moines IA 50305-1475 Ph: (515) 643-0724 | Mercy Clinics Nurse Practitioners 1111 6th Ave. 2nd Floor Des Moines IA 50314-2610 Ph: (515) 643-7238 |
| NPI Number | 1699962159 |
|---|---|
| Provider Enumeration Date | 09/28/2007 |
| Last Update Date | 07/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699962159 | NPI | - | NPPES |
| 0400083 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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