Healthcare Provider Details

I. General information

NPI: 1407702244
Provider Name (Legal Business Name): ELISABETH PARILO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BETH BOYLES ARNP

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 A AVE NE STE 400
CEDAR RAPIDS IA
52402-5064
US

IV. Provider business mailing address

855 A AVE NE STE 400
CEDAR RAPIDS IA
52402-5064
US

V. Phone/Fax

Practice location:
  • Phone: 319-363-3656
  • Fax: 319-363-4001
Mailing address:
  • Phone: 319-363-3656
  • Fax: 319-363-4001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberL190290
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: