Healthcare Provider Details

I. General information

NPI: 1265424352
Provider Name (Legal Business Name): SHERRYL L LINK A.R.N.P., W.H.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 UNIVERSITY AVE
DES MOINES IA
50314-3126
US

IV. Provider business mailing address

2213 GRAND AVE
DES MOINES IA
50312-5305
US

V. Phone/Fax

Practice location:
  • Phone: 515-243-4241
  • Fax: 515-243-0209
Mailing address:
  • Phone: 515-237-3974
  • Fax: 515-883-2692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberF060593
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: