Organization
GUIDED ASCENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY MARIE FULLER RN (CEO)
(515) 249-3338
Entity
Organization
Contact information
Practice address
2400 82ND PL, URBANDALE, IA 50322-4328
(515) 664-7386
Mailing address
809 KINGMAN BLVD, MADRID, IA 50156-1424
(515) 664-7386
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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