Individual
AMY KALLISTA GERHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, CNRN
Contact information
Practice address
412 SW 12TH ST UNIT 106, DES MOINES, IA 50309-4317
(507) 993-8070
Mailing address
412 SW 12TH ST UNIT 106, DES MOINES, IA 50309-4317
(507) 993-8070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
164264
IA
163WN0800X
Neuroscience Registered Nurse
00381300
CO
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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