Healthcare Provider Details

I. General information

NPI: 1265093462
Provider Name (Legal Business Name): ALDEN COMMUNITY SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2019
Last Update Date: 06/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 CENTER ST
ALDEN IA
50006-7745
US

IV. Provider business mailing address

PO BOX 48
ALDEN IA
50006-0048
US

V. Phone/Fax

Practice location:
  • Phone: 515-859-3393
  • Fax:
Mailing address:
  • Phone: 515-859-3393
  • Fax: 515-859-3395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: NICOLE NACHAZEL
Title or Position: SCHOOL NURSE
Credential:
Phone: 515-859-3393