Healthcare Provider Details

I. General information

NPI: 1164306551
Provider Name (Legal Business Name): DERMANP SOLUTIONS PLLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3902 NW 14TH CT
ANKENY IA
50023-6056
US

IV. Provider business mailing address

3902 NW 14TH CT
ANKENY IA
50023-6056
US

V. Phone/Fax

Practice location:
  • Phone: 515-657-0645
  • Fax:
Mailing address:
  • Phone: 515-657-0645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: OBEHI ORIAIFO
Title or Position: NURSE PRACTITIONER
Credential: DNP, FNP-BC, DCNP
Phone: 515-657-0645