Healthcare Provider Details

I. General information

NPI: 1285448118
Provider Name (Legal Business Name): YANETH E GELWICKS RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1795 HIGHWAY 64 E
ANAMOSA IA
52205-2112
US

IV. Provider business mailing address

1957 162ND AVE
MANCHESTER IA
52057-8919
US

V. Phone/Fax

Practice location:
  • Phone: 319-481-6349
  • Fax:
Mailing address:
  • Phone: 319-213-1985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number164408
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: