Organization
PERINATAL CENTER OF IOWA LLC
Active
Other names
Perinatal Nurse Practitioners
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID H VELLINGA (PRES/CEO)
(515) 247-4278
Entity
Organization
Contact information
Practice address
330 LAUREL ST, SUITE 2300, DES MOINES, IA 50314-3068
(515) 643-6888
(515) 643-6899
Mailing address
PO BOX 8204, DES MOINES, IA 50301-8204
(515) 643-6888
(515) 643-6899
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720364276
—
IA
Enumeration date
10/28/2011
Last updated
12/08/2011
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