Healthcare Provider Details

I. General information

NPI: 1366373243
Provider Name (Legal Business Name): MARY ELIZABETH HILLAKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARYBETH HILLAKER

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 2ND AVE STE 1
DES MOINES IA
50313-4468
US

IV. Provider business mailing address

1832 E 12TH ST
DES MOINES IA
50316-2006
US

V. Phone/Fax

Practice location:
  • Phone: 515-508-9258
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: