# BROADLAWNS MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ARNP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265683718
- **Authorized official:** DR. VINCENT J MANDRACCHIA DPM (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (515) 282-2562

## Contact information

- **Practice address:** 1801 HICKMAN RD, DES MOINES, IA 50314-1505
- **Practice address phone:** (515) 282-2200
- **Mailing address:** 1801 HICKMAN RD, DES MOINES, IA 50314-1505
- **Mailing address phone:** (515) 282-2200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2008
- **Last updated:** 10/02/2008