Healthcare Provider Details

I. General information

NPI: 1851201727
Provider Name (Legal Business Name): LEAH DENSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4054 46TH ST
DES MOINES IA
50310-2824
US

IV. Provider business mailing address

4054 46TH ST
DES MOINES IA
50310-2824
US

V. Phone/Fax

Practice location:
  • Phone: 515-979-9920
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number123363
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: