Healthcare Provider Details

I. General information

NPI: 1184229239
Provider Name (Legal Business Name): REECHA REISING ARNP, AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2020
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 DES MOINES ST STE 110
DES MOINES IA
50309-5507
US

IV. Provider business mailing address

PO BOX 674721
DALLAS TX
75267-4721
US

V. Phone/Fax

Practice location:
  • Phone: 515-643-4915
  • Fax: 515-643-8804
Mailing address:
  • Phone: 515-643-2519
  • Fax: 515-643-8804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberH160638
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberH160638
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: