Healthcare Provider Details

I. General information

NPI: 1649073016
Provider Name (Legal Business Name): ARTURO REY MUNOZ JR. BSN, RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 DUFF AVE
AMES IA
50010-5745
US

IV. Provider business mailing address

612 13TH ST
AMES IA
50010-5420
US

V. Phone/Fax

Practice location:
  • Phone: 515-239-2011
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number177879
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: