Individual
WENDY K. GRADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-5926
(515) 241-5127
Mailing address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-5926
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
102391
IA
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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