Organization
MERCY CLINICS NURSE PRACTITIONERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE COX (CREDENTIALING MANAGER)
(515) 643-0724
Entity
Organization
Contact information
Practice address
1111 6TH AVE., 2ND FLOOR, DES MOINES, IA 50314-2610
(515) 643-7238
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-0724
(515) 643-2784
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0400083
—
IA
Enumeration date
09/28/2007
Last updated
07/25/2013
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