Healthcare Provider Details

I. General information

NPI: 1033023452
Provider Name (Legal Business Name): NATALIE STOCKMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 6TH AVE
DES MOINES IA
50314-2613
US

IV. Provider business mailing address

206 NE WHITETAIL LN
ANKENY IA
50021-1253
US

V. Phone/Fax

Practice location:
  • Phone: 515-247-3121
  • Fax:
Mailing address:
  • Phone: 320-282-2131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License NumberH194452
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: