Individual
ANNA BETH DORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5999
Mailing address
5812 SNYDER AVE, DES MOINES, IA 50322-3652
(515) 357-2470
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P39196
IA
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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