MEDICARE: DAWN ANGELL RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	067568	IA

General Provider Information

NPI Number	:	1316066897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN ANGELL RN

Provider Business Mailing Address
First Line	:	6000 UNIVERSITY AVE
Second Line	:	SUITE 200
City	:	DES MOINES
State	:	IA
Zip	:	50311-1902
Country	:	US
Telephone Number	:	515-471-9373
Fax Number	:

Provider Business Practice Location Address
First Line	:	6000 UNIVERSITY AVE
Second Line	:	SUITE 200
City	:	DES MOINES
State	:	IA
Zip	:	50311-1902
Country	:	US
Telephone Number	:	515-471-9373
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	07/08/2007

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