Individual
COLETTE JANE HENNINGSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1221 PLEASANT ST, SUITE 200, DES MOINES, IA 50309-1423
(515) 241-4019
(515) 241-4051
Mailing address
1221 PLEASANT ST, SUITE 200, DES MOINES, IA 50309-1423
(515) 241-4019
(515) 241-4051
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
L-116577
IA
Other
Enumeration date
03/02/2012
Last updated
06/08/2015
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