Healthcare Provider Details

I. General information

NPI: 1699602292
Provider Name (Legal Business Name): ERIKA NICOLE TE GROTENHUIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 NE GATEWAY CT APT 203
GRIMES IA
50111-5252
US

IV. Provider business mailing address

1730 NE GATEWAY CT APT 203
GRIMES IA
50111-5252
US

V. Phone/Fax

Practice location:
  • Phone: 712-578-9135
  • Fax:
Mailing address:
  • Phone: 712-578-9135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: