Healthcare Provider Details

I. General information

NPI: 1437869559
Provider Name (Legal Business Name): MARK HABEL ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2022
Last Update Date: 11/23/2025
Certification Date: 11/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 E 10TH ST
ATLANTIC IA
50022-1936
US

IV. Provider business mailing address

PO BOX 674721
DALLAS TX
75267-4721
US

V. Phone/Fax

Practice location:
  • Phone: 712-250-8715
  • Fax:
Mailing address:
  • Phone: 515-643-2519
  • Fax: 515-461-9779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA169729
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: