Healthcare Provider Details

I. General information

NPI: 1710927066
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF THE HEARTLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2304 UNIVERSITY AVE
DES MOINES IA
50311-4316
US

IV. Provider business mailing address

LOCKBOX 446153 PO BOX 64071
ST. PAUL MN
55164-0071
US

V. Phone/Fax

Practice location:
  • Phone: 866-290-4325
  • Fax: 515-280-9525
Mailing address:
  • Phone: 866-290-4325
  • Fax: 515-280-9525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberF103607
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01898
License Number StateIA

VIII. Authorized Official

Name: NICOLE MARTINSON
Title or Position: DIRECTOR, REVENUE MANAGEMENT
Credential:
Phone: 651-696-5676