Healthcare Provider Details

I. General information

NPI: 1487968822
Provider Name (Legal Business Name): CARIN A BEJARNO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2010
Last Update Date: 01/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1551 SE 3RD ST
GRIMES IA
50111-8861
US

IV. Provider business mailing address

1551 SE 3RD ST
GRIMES IA
50111-8861
US

V. Phone/Fax

Practice location:
  • Phone: 515-986-4524
  • Fax: 515-986-4531
Mailing address:
  • Phone: 515-986-4524
  • Fax: 515-986-4531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA-112500
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: