Healthcare Provider Details

I. General information

NPI: 1730455445
Provider Name (Legal Business Name): BIANCA MANUELLI FINN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BIANCA MANUELLI MD

II. Dates (important events)

Enumeration Date: 03/27/2012
Last Update Date: 10/02/2023
Certification Date: 10/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 DUFF AVE
AMES IA
50010-5745
US

IV. Provider business mailing address

1215 DUFF AVE
AMES IA
50010-5469
US

V. Phone/Fax

Practice location:
  • Phone: 515-239-4400
  • Fax:
Mailing address:
  • Phone: 515-239-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD-44026
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD-44026
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: