Individual
JAN M FOOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1215 PLEASANT STREET SUITE 300, BLANK CHILDREN'S PEDIATRIC CLINIC - ENDOCRINOLOGY, DES MOINES, IA 50309-1406
(515) 241-6500
(515) 241-8911
Mailing address
1200 PLEASANT STREET, BLANK ADMINISTRATION, DES MOINES, IA 50309-1416
(515) 241-5926
(515) 241-5127
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
C063378
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740272822
—
IA
01
—
175150054
MEDICARE
—
Enumeration date
08/16/2005
Last updated
06/17/2015
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