# MVP INTEGRATIVE HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003461518
- **Authorized official:** MS. MARKIE LYNN VANT HUL ARNP (ARNP/ CO-OWNER /PROVIDER)
- **Authorized official phone:** (712) 470-1498

## Contact information

- **Practice address:** 1221 PIERCE STREET, SIOUX CITY, IA 51105
- **Practice address phone:** (712) 255-0204
- **Practice address fax:** (712) 255-1120
- **Mailing address:** 1221 PIERCE STREET, SIOUX CITY, IA 51105
- **Mailing address phone:** (712) 255-0204
- **Mailing address fax:** (712) 255-1120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/02/2019
- **Last updated:** 08/02/2019