MEDICARE: KRISTEN MYERS PH.D, ARNP, PMHNP-BC

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	163WP0808X	Psychiatric/Mental Health Registered Nurse	112528	IA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	G181700	IA

General Provider Information

NPI Number	:	1437931458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN MYERS PH.D, ARNP, PMHNP-BC

Provider Business Mailing Address
First Line	:	315 6TH ST STE 100
Second Line	:
City	:	AMES
State	:	IA
Zip	:	50010-6181
Country	:	US
Telephone Number	:	515-412-0272
Fax Number	:	515-855-2550

Provider Business Practice Location Address
First Line	:	315 6TH ST STE 100
Second Line	:
City	:	AMES
State	:	IA
Zip	:	50010-6181
Country	:	US
Telephone Number	:	515-412-4110
Fax Number	:

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

Provider Enumeration Date	:	10/16/2023
Last Update Date	:	06/02/2026

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