Individual
SUSAN MIREMBE MATOVU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1801 HICKMAN ROAD, DES MOINES, IA 50314
(515) 282-5742
Mailing address
920 NE 41ST ST, ANKENY, IA 50021-6710
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G175028
IA
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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