Healthcare Provider Details

I. General information

NPI: 1386636207
Provider Name (Legal Business Name): LUANN WOOLLEY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LUANN WOOLLEY

II. Dates (important events)

Enumeration Date: 08/17/2005
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1206 PLEASANT ST
DES MOINES IA
50309-1406
US

IV. Provider business mailing address

1200 PLEASANT ST CHILDRENS HOSPITAL PHYSICIANS
DES MOINES IA
50309-1406
US

V. Phone/Fax

Practice location:
  • Phone: 515-241-5884
  • Fax: 515-241-5894
Mailing address:
  • Phone: 515-241-5926
  • Fax: 515-241-5127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberA079831
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: