Doctor Name: | CARIN A BEJARNO |
NPI Number: | 1487968822 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | A-112500 |
Business Practice Address: | 1551 Se 3rd St Grimes, IA - 501118861 |
Business Phone Number: | 5159864524 |
Business Fax Number: | 5159864531 |
Mailing Address: | 1551 Se 3rd St, GRIMES |
State: | IA |
Postal Code: | 501118861 |
Phone Number: | 5159864524 |
Fax Number: | 5159864531 |
NPI Enumeration Date: | 07/27/2010 |
NPI Last Update Date: | 01/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A-112500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |