Individual
TRACY ANN DICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP FNP
Contact information
Practice address
1801 HICKMAN RD, DES MOINES, IA 50314-1505
(515) 282-2200
(515) 282-2231
Mailing address
1801 HICKMAN RD, DES MOINES, IA 50314-1505
(515) 282-2200
(515) 282-2231
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
062100
IA
363LF0000X
Family Nurse Practitioner
Primary
A062100
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0219733
—
IA
05
—
1219733
—
IA
01
—
42068106098
JOHN DEERE HEALTH
IA
01
—
48413
WELLMARK BCBS
IA
01
—
B003
TRIWEST
IA
01
—
P00112921
RAILROAD MEDICARE
IA
01
—
UNK
IOWA HEALTH SOLUTIONS
IA
Enumeration date
08/31/2005
Last updated
01/21/2009
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