Healthcare Provider Details

I. General information

NPI: 1336504562
Provider Name (Legal Business Name): AMY NAVRKAL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2015
Last Update Date: 12/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2260 THIELEN STUDENT HEALTH IOWA STATE UNIVERSITY
AMES IA
50011-2280
US

IV. Provider business mailing address

2260 THIELEN STUDENT HEALTH IOWA STATE UNIVERSITY
AMES IA
50011-2280
US

V. Phone/Fax

Practice location:
  • Phone: 515-294-5801
  • Fax:
Mailing address:
  • Phone: 515-294-5801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA114923
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: