Healthcare Provider Details

I. General information

NPI: 1548078355
Provider Name (Legal Business Name): EMILY VORE MSN, RN, AGCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2024
Last Update Date: 12/26/2024
Certification Date: 12/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 PLEASANT ST YOUNKER 123
DES MOINES IA
50309
US

IV. Provider business mailing address

1288 PRAIRIE DR
STORY CITY IA
50248-1843
US

V. Phone/Fax

Practice location:
  • Phone: 515-241-5567
  • Fax:
Mailing address:
  • Phone: 608-769-2660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number164529
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code364SM0705X
TaxonomyMedical-Surgical Clinical Nurse Specialist
License Number2021051018
License Number StateIA
# 3
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberW181730
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: