Organization
GRACE V HATCHER ARNP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE VENTIMIGLIA HATCHER ARNP, MSN, CS (PRESIDENT)
(515) 277-7370
Entity
Organization
Contact information
Practice address
1001 OFFICE PARK RD, SUITE 113, WEST DES MOINES, IA 50265-2587
(515) 277-7370
(515) 277-0102
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 288-0122
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
T-061905
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932468634
BCBS
IA
05
—
1932468634
—
IA
Enumeration date
05/15/2012
Last updated
08/05/2014
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