| NPI | 1275227936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LATCHAM Owner 515-884-7849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2025-12-16 |