Individual
NICOLA META NICOLAISEN PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 247-3121
Mailing address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 247-3121
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4147
IA
207P00000X
Emergency Medicine Physician
R-8657
IA
Other
Enumeration date
05/29/2009
Last updated
09/21/2012
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