Healthcare Provider Details

I. General information

NPI: 1770558025
Provider Name (Legal Business Name): DENISE L HONNER PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DENISE REIFKE P.A.

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 5TH AVE STE 200
DES MOINES IA
50309-1304
US

IV. Provider business mailing address

818 5TH AVE
DES MOINES IA
50309-1304
US

V. Phone/Fax

Practice location:
  • Phone: 800-230-7526
  • Fax: 515-280-9525
Mailing address:
  • Phone: 800-230-7526
  • Fax: 515-280-9525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1342
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number3300
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number001569
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: