Individual
ROSEANNE HIXENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5807
(515) 699-5779
Mailing address
924 52ND CT, WDM, IA 50265-2715
(515) 225-7765
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
061854
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363L00000X
VA
IA
Enumeration date
07/10/2012
Last updated
07/10/2012
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