Individual
TARA M. EASTVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1212 PLEASANT ST, SUITE 204, DES MOINES, IA 50309-1414
(515) 241-6548
(515) 241-8789
Mailing address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-6228
(515) 241-5127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A125292
IA
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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