Individual
STACY KUIPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5950 UNIVERSITY AVE STE 105, WEST DES MOINES, IA 50266-7756
(515) 875-9070
Mailing address
7147 VISTA DR STE 150, WEST DES MOINES, IA 50266-9317
(515) 875-9925
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A158964
IA
363LF0000X
Family Nurse Practitioner
A158964
IA
Other
Enumeration date
06/08/2020
Last updated
09/28/2020
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