Individual
THERESA DIANNE HOHERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1221 PLEASANT ST STE 400, DES MOINES, IA 50309-1426
(515) 875-9290
(515) 241-4162
Mailing address
7147 VISTA DR STE 150, WEST DES MOINES, IA 50266-9317
(515) 875-9255
(515) 875-9223
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F-098172
IA
Other
Enumeration date
07/06/2009
Last updated
08/17/2021
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