Individual
KATIE M DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-AC, PC
Contact information
Practice address
5005 DOUGLAS AVE STE 101, DES MOINES, IA 50310-2760
(515) 724-8920
Mailing address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-7977
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
117312
IA
363LP0200X
Pediatric Nurse Practitioner
Primary
C117312
IA
Other
Enumeration date
11/04/2017
Last updated
04/01/2025
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