Healthcare Provider Details

I. General information

NPI: 1467381319
Provider Name (Legal Business Name): MICHAELA CARLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

IV. Provider business mailing address

411 10TH ST SE
CEDAR RAPIDS IA
52403-2442
US

V. Phone/Fax

Practice location:
  • Phone: 800-777-8442
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA194414
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number158139
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: