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Doctors / IA
NURSE PRACTITIONER
Graduated: 2000
NPI: 1063447712
4300 NEW YORK AVE
Des Moines, IA 503103437
DES MOINES, IA 503103437
210 4TH AVE
GRINNELL, IA 501121898
5152775223
Source: CMS National Downloadable File, September 2026.