Individual
MRS. NICOLE MARIE NESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1215 PLEASANT ST, SUITE 414, DES MOINES, IA 50309-1416
(515) 241-5700
Mailing address
1215 PLEASANT ST, SUITE 414, DES MOINES, IA 50309-1416
(515) 241-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002422
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01288339
RR MEDICARE
IA
Enumeration date
07/31/2013
Last updated
05/06/2014
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