Individual
JOSEPH A. GENOVESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5950 UNIVERSITY AVE STE 105, WEST DES MOINES, IA 50266-7756
(515) 875-9070
(515) 875-9071
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 635-5264
(573) 556-5757
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A175174
IA
363LF0000X
Family Nurse Practitioner
100229
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336265487
—
MO
Enumeration date
03/21/2007
Last updated
01/03/2024
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