Healthcare Provider Details

I. General information

NPI: 1598365108
Provider Name (Legal Business Name): SHYRL ANN HOAG APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2020
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 N ANKENY BLVD STE 100
ANKENY IA
50023-4003
US

IV. Provider business mailing address

1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON MN
55112-1789
US

V. Phone/Fax

Practice location:
  • Phone: 515-255-8399
  • Fax: 515-644-8225
Mailing address:
  • Phone: 651-628-9566
  • Fax: 651-628-0411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG161205
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: