Individual
MICHAELA HENNEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ARNP, FNP-C
Contact information
Practice address
1005 BLAIRS FERRY RD NE STE 30, CEDAR RAPIDS, IA 52402-1292
(319) 289-7779
(319) 320-4644
Mailing address
6800 LAKE DR STE 285, WEST DES MOINES, IA 50266-2544
(515) 226-3116
(515) 223-9341
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A189940
IA
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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