| NPI | 1033154836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKAELA KIENITZ CEO 515-432-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2023-10-10 |