Doctor Name: | MEGAN ELIZABETH HEUSINKVELT |
NPI Number: | 1003243783 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 111432 |
Business Practice Address: | 2530 Chamberlain St Ames, IA - 500147272 |
Business Phone Number: | 5152921000 |
Business Fax Number: | 5152925340 |
Mailing Address: | 1171 7th St, DES MOINES |
State: | IA |
Postal Code: | 503142505 |
Phone Number: | 5152807004 |
Fax Number: | 5152809525 |
NPI Enumeration Date: | 09/26/2013 |
NPI Last Update Date: | 10/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 111432 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |