Healthcare Provider Details
I. General information
NPI: 1346232337
Provider Name (Legal Business Name): LOUANN HART-SCHAFFER A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/17/2005
Last Update Date: 02/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1221 CENTER ST SUITE 25
DES MOINES IA
50309-1002
US
IV. Provider business mailing address
PO BOX 71602
CLIVE IA
50325-0602
US
V. Phone/Fax
- Phone: 515-244-3700
- Fax: 515-244-4720
- Phone: 515-243-2057
- Fax: 515-244-5570
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | A-092938 |
| License Number State | IA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 092938 |
| License Number State | IA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: