Individual
MICAYLA AMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 341-1368
Mailing address
713 SE 3RD ST, GRIMES, IA 50111-1010
(515) 341-1368
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
148547
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G186915
IA
Other
Enumeration date
09/08/2023
Last updated
11/21/2025
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