Healthcare Provider Details

I. General information

NPI: 1801463245
Provider Name (Legal Business Name): ANN MARIE MOJEIKO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2021
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 13TH AVE N
CLINTON IA
52732-5099
US

IV. Provider business mailing address

1518 10TH ST NW
CLINTON IA
52732-5054
US

V. Phone/Fax

Practice location:
  • Phone: 563-243-2511
  • Fax:
Mailing address:
  • Phone: 563-212-7930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG186671
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA163739
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: