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Individual

DIANE E CLEVENGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3509 E 29TH ST, DES MOINES, IA 50317-4253
(515) 248-1600
(515) 248-1610
Mailing address
1200 UNIVERSITY AVE STE 200, DES MOINES, IA 50314-2355
(515) 248-1447
(515) 248-1440

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
F056547
IA
367A00000X
Advanced Practice Midwife
Primary
F056547
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0436535
IA
05
1356315824
IA
05
1436535
IA
Enumeration date
02/14/2006
Last updated
10/10/2023
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