Healthcare Provider Details

I. General information

NPI: 1639094535
Provider Name (Legal Business Name): REAGAN ELIZABETH PIPP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REAGAN ELIZABETH CRAMER

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 S GRAND AVE
IOWA CITY IA
52242-1306
US

IV. Provider business mailing address

180 S GRAND AVE
IOWA CITY IA
52242-1306
US

V. Phone/Fax

Practice location:
  • Phone: 319-335-8795
  • Fax:
Mailing address:
  • Phone: 319-335-8795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number8417
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: