MEDICARE: ADREANNE PERKINS MSN, 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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	G169872	IA

General Provider Information

NPI Number	:	1720711930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADREANNE PERKINS MSN, ARNP, PMHNP-BC

Provider Business Mailing Address
First Line	:	2331 130TH ST
Second Line	:
City	:	VAN METER
State	:	IA
Zip	:	50261-8599
Country	:	US
Telephone Number	:	515-229-5252
Fax Number	:

Provider Business Practice Location Address
First Line	:	1370 NW 114TH ST
Second Line	:
City	:	CLIVE
State	:	IA
Zip	:	50325-7030
Country	:	US
Telephone Number	:	515-229-5252
Fax Number	:

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

Provider Enumeration Date	:	07/05/2022
Last Update Date	:	12/03/2025

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