Individual
STEPHANIE SINCLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
800 E 1ST ST STE 2200, ANKENY, IA 50021
(515) 643-9000
(515) 643-7509
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-9000
(515) 643-7509
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A098290
IA
363LP0200X
Pediatric Nurse Practitioner
Primary
A098290
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02604
WELLMARK BLUE SHIELD
IA
01
—
71087
WELLMARK BLUE SHIELD
IA
Enumeration date
10/05/2006
Last updated
06/19/2018
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