Healthcare Provider Details

I. General information

NPI: 1447800685
Provider Name (Legal Business Name): ALYSHA REESE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALYSHA HARTL

II. Dates (important events)

Enumeration Date: 09/19/2019
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 A AVE NE STE 120
CEDAR RAPIDS IA
52402-5062
US

IV. Provider business mailing address

855 A AVE NE STE 120
CEDAR RAPIDS IA
52402-5062
US

V. Phone/Fax

Practice location:
  • Phone: 319-297-9350
  • Fax:
Mailing address:
  • Phone: 319-297-9350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP1700X
TaxonomyPerinatal Nurse Practitioner
License NumberA156354
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA156354
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberA156354
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: