Individual
NICOLE B. GROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
1401 50TH ST STE 100, WEST DES MOINES, IA 50266-5924
(515) 225-7132
(515) 218-1500
Mailing address
1303 NW ABBIE DR, ANKENY, IA 50023-9391
(515) 314-7869
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A-119130
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457695595
—
IA
01
—
P01141261
RR MEDICARE
IA
Enumeration date
11/15/2012
Last updated
11/21/2025
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