Healthcare Provider Details

I. General information

NPI: 1770832636
Provider Name (Legal Business Name): DEBRA L RYAN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2012
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 EUCLID AVE
DES MOINES IA
50313-4403
US

IV. Provider business mailing address

PO BOX 746870
ATLANTA GA
30374-6870
US

V. Phone/Fax

Practice location:
  • Phone: 515-666-8670
  • Fax: 515-993-9680
Mailing address:
  • Phone: 833-804-1695
  • Fax: 312-929-0373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberH088255
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberH-088255
License Number StateIA
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA-0712178
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: