Individual
ALYSSA COUGHENNOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, PMHNP-BC
Contact information
Practice address
1701 48TH ST STE 260, WEST DES MOINES, IA 50266-6726
(515) 348-6380
(515) 452-0565
Mailing address
117 SYCAMORE LN, NORWALK, IA 50211-0009
(515) 401-8626
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022012425
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G169680
IBON ARNP LICENSE
IA
Enumeration date
09/01/2022
Last updated
10/05/2025
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