Healthcare Provider Details

I. General information

NPI: 1669632436
Provider Name (Legal Business Name): KAREN M. WOLTERS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN MARGARET HARWICK PA-C

II. Dates (important events)

Enumeration Date: 06/14/2008
Last Update Date: 11/20/2020
Certification Date: 11/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 DUFF AVE MCFARLAND CLINIC, PC
AMES IA
50010-3014
US

IV. Provider business mailing address

PO BOX 3014 1215 DUFF AVE MCFARLAND CLINIC, PC
AMES IA
50010-3014
US

V. Phone/Fax

Practice location:
  • Phone: 515-239-2155
  • Fax: 515-239-2050
Mailing address:
  • Phone: 515-239-4400
  • Fax: 515-239-4446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number6895723-1206
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number002188
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: