Individual
NANCY AQUADRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1350 DES MOINES ST, SUITE 110, DES MOINES, IA 50309-5502
(515) 643-0833
(515) 643-0933
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-0833
(515) 643-0933
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02358
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2037366
—
IA
Enumeration date
08/04/2006
Last updated
04/27/2010
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