Individual
MIRANDA JAYE AYERS-BURKGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1569
Mailing address
1591 MCKIMBER DR, KNOXVILLE, IA 50138-8800
(515) 971-3804
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
114134
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/03/2021
Last updated
08/28/2022
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