| NPI | 1104870674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE M. KELLEY President And CEO 515-277-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA J059522) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IA J059522) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2008-01-18 |