| Nova Integrated Health, Pc | |
|
2675 N Ankeny Blvd Ste 113 Ankeny IA 50023-4719 | |
| (515) 289-4549 | |
| Not Available |
| Full Name | Nova Integrated Health, Pc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2675 N Ankeny Blvd Ste 113, Ankeny, Iowa |
| Authorized Official Name and Position | Taylor Vanden Wynboom (OWNER, CEO) |
| Authorized Official Contact | 5152894549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Integrated Health, Pc 1103 Ridgetop Dr Huxley IA 50124-4704 Ph: () - | Nova Integrated Health, Pc 2675 N Ankeny Blvd Ste 113 Ankeny IA 50023-4719 Ph: (515) 289-4549 |
| NPI Number | 1417412750 |
|---|---|
| Provider Enumeration Date | 01/31/2019 |
| Last Update Date | 01/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417412750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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