Individual
MELLONY BETH GOURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1301 PENNSYLVANIA AVE STE 100, DES MOINES, IA 50316-2364
(515) 263-2400
Mailing address
1301 PENNSYLVANIA AVE STE 100, DES MOINES, IA 50316-2364
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
142047
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142047
RN LICENSE
IA
Enumeration date
04/23/2026
Last updated
04/23/2026
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