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Organization
MARY GREELEY MEDICAL CENTER
Active
Organization
MARY GREELEY MEDICAL CENTER
Active
Parent organization
-
Other names
Nurse Practioner Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
-
Authorized official
AMBER DEARDORFF (PRESIDENT/CEO)
(515) 239-2105
Entity
Organization
Contact information
Practice address
1111 DUFF AVE, AMES, IA 50010-5745
(515) 239-2011
(515) 239-2060
Mailing address
1111 DUFF AVE, AMES, IA 50010-5745
(515) 239-2011
(515) 239-2060
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
11/21/2025
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