Healthcare Provider Details

I. General information

NPI: 1841716651
Provider Name (Legal Business Name): MONICA D WESCOTT DNP, AGNP, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONICA D WESCOTT

II. Dates (important events)

Enumeration Date: 08/15/2017
Last Update Date: 02/07/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 PLEASANT ST STE 400
DES MOINES IA
50309-1418
US

IV. Provider business mailing address

1129 NW WAGNER BLVD
ANKENY IA
50023-4213
US

V. Phone/Fax

Practice location:
  • Phone: 515-241-4019
  • Fax: 515-241-4051
Mailing address:
  • Phone: 515-707-5291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberH117124
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberH117124
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberH117124
License Number StateIA
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberH117124
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: