Healthcare Provider Details

I. General information

NPI: 1619321585
Provider Name (Legal Business Name): DARCY WEILBRENNER-SHELDON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2016
Last Update Date: 04/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 S MAIN ST
CENTERVILLE IA
52544-2421
US

IV. Provider business mailing address

707 S MAIN ST
CENTERVILLE IA
52544-2421
US

V. Phone/Fax

Practice location:
  • Phone: 641-437-4344
  • Fax: 641-856-5410
Mailing address:
  • Phone: 641-437-4344
  • Fax: 641-856-5410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAO94000
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: