Individual
ANDI IVAKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3930 WESTOWN PKWY STE A, WEST DES MOINES, IA 50266-1035
(515) 657-6210
Mailing address
3080 DURHAM RD, WAUKEE, IA 50263-7621
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0024182376
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
H174633
IA
363LA2100X
Acute Care Nurse Practitioner
R203167
MD
Other
Enumeration date
08/13/2021
Last updated
06/26/2024
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