Healthcare Provider Details

I. General information

NPI: 1568381176
Provider Name (Legal Business Name): DEANNA LYNN CARDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 E ARMY POST RD
DES MOINES IA
50315-5957
US

IV. Provider business mailing address

1211 E ARMY POST RD
DES MOINES IA
50315-5957
US

V. Phone/Fax

Practice location:
  • Phone: 515-256-9540
  • Fax:
Mailing address:
  • Phone: 515-256-9540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: