Healthcare Provider Details

I. General information

NPI: 1164369989
Provider Name (Legal Business Name): ELEANORE LITTLE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2521 UNIVERSITY BLVD
AMES IA
50010-8629
US

IV. Provider business mailing address

204 PLAZA HEIGHTS RD
MARSHALLTOWN IA
50158-4527
US

V. Phone/Fax

Practice location:
  • Phone: 515-598-3300
  • Fax:
Mailing address:
  • Phone: 765-623-1644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG190890
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: