Healthcare Provider Details

I. General information

NPI: 1508932799
Provider Name (Legal Business Name): SHEILA ANNE WHYTE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 11/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 HICKMAN RD
DES MOINES IA
50314-1505
US

IV. Provider business mailing address

PO BOX 4907
DES MOINES IA
50306-4907
US

V. Phone/Fax

Practice location:
  • Phone: 515-282-2501
  • Fax:
Mailing address:
  • Phone: 515-875-9178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA077179
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: