# INNOVAIRE PRIMARY HEALTH PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1871324038
- **Authorized official:** ANGELA HEDGES (MANAGER)
- **Authorized official phone:** (319) 428-9355

## Contact information

- **Practice address:** 515 N 3RD ST, BURLINGTON, IA 52601-5238
- **Practice address phone:** (319) 759-4999
- **Mailing address:** 515 N 3RD ST, BURLINGTON, IA 52601-5238
- **Mailing address phone:** (319) 428-9355
- **Mailing address fax:** (319) 671-6580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2024
- **Last updated:** 10/29/2024