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1336820505
LISA WEATHERWAX
WEST DES MOINES, IA
NPI
1336820505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IA G175623)
Enumeration Date
2023-07-31
Last Update Date
2023-07-31
Business Address
LISA WEATHERWAX MSN, ARNP, PMHNP-BC
5000 WESTOWN PKWY STE 104
WEST DES MOINES, IA 50266-5936
Phone number: 515-679-3947
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Mailing Address
LISA WEATHERWAX MSN, ARNP, PMHNP-BC
5000 WESTOWN PKWY STE 104
WEST DES MOINES, IA 50266-5936
Phone number: 515-679-3947
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