Individual
MRS. LINDSAY JANE PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1201 PENN AVENUE, DES MOINES, IA 50316-2339
(515) 266-1000
Mailing address
6735 NW 6TH DR, DES MOINES, IA 50313-1050
(515) 865-3285
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
112103
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01104249
RR MEDICARE
IA
Enumeration date
07/11/2012
Last updated
12/26/2012
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