Individual
KATHRYN ELIZABETH EWOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5921 SE 14TH ST STE 2500, DES MOINES, IA 50320-1747
(515) 287-5757
Mailing address
6800 LAKE DR STE 285, WEST DES MOINES, IA 50266-2544
(319) 830-6650
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A175944
IA
363LF0000X
Family Nurse Practitioner
Primary
A175944
IA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
A175944
IA
Other
Enumeration date
08/28/2023
Last updated
11/18/2024
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