Individual
STEPHANIE WADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2103 INGERSOLL AVE, DES MOINES, IA 50312-5227
(515) 279-6424
Mailing address
7020 NW 6TH DR, ANKENY, IA 50023-8987
(515) 822-2396
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A102421
IA
363LF0000X
Family Nurse Practitioner
102421A
IA
Other
Enumeration date
09/18/2017
Last updated
05/23/2024
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