# NOVA INTEGRATED HEALTH, PC

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

## Provider details

- **NPI number:** 1417412750
- **Authorized official:** TAYLOR VANDEN WYNBOOM DC (OWNER, CEO)
- **Authorized official phone:** (515) 289-4549

## Contact information

- **Practice address:** 2675 N ANKENY BLVD STE 113, ANKENY, IA 50023-4719
- **Practice address phone:** (515) 289-4549
- **Mailing address:** 1103 RIDGETOP DR, HUXLEY, IA 50124-4704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/31/2019
- **Last updated:** 01/31/2019