Individual
NIKALA PRASASOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5200 100TH ST, URBANDALE, IA 50322-7208
(515) 675-7500
Mailing address
4706 ASPEN DR, WEST DES MOINES, IA 50265-2923
(515) 664-5539
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A164654
IA
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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