| NPI | 1114551223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELECIA CRANNELL Owner/Provider 515-478-9660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2022-03-23 |