Individual
JOYCE A VISTA-WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 247-4240
(515) 247-4239
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 247-4240
(515) 247-4239
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
32348
IA
2084P0804X
Child & Adolescent Psychiatry Physician
32348
IA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD-32348
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0168526
—
IA
01
—
145827
IOWA HEALTH SOLUTIONS
IA
01
—
42068106058
JOHN DEERE HEALTH
IA
01
—
46078
WELLMARK, INC BCBS
IA
01
—
T005
TRIWEST
IA
Enumeration date
08/30/2005
Last updated
12/27/2024
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