Individual
BETHANY DECOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5950 UNIVERSITY AVE STE 131, WEST DES MOINES, IA 50266
(515) 875-9550
(515) 875-9551
Mailing address
7147 VISTA DR STE 150, WEST DES MOINES, IA 50266-9313
(515) 875-9925
(515) 875-9923
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A122502
IA
363LF0000X
Family Nurse Practitioner
Primary
A122502
IA
Other
Enumeration date
02/11/2015
Last updated
11/06/2023
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