Organization
BLANK CHILDRENS HOSPTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDSEY MARIE FREDERICKSEN ARNP (PEDIATRIC NURSE PRACTITIONER)
(515) 771-6691
Entity
Organization
Contact information
Practice address
406 SW SCHOOL ST, ANKENY, IA 50023-3056
(515) 289-3960
Mailing address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
C-119097
IA
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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