Healthcare Provider Details

I. General information

NPI: 1326297359
Provider Name (Legal Business Name): CARLA PIES N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2008
Last Update Date: 02/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWKINS DR DEPT OF INTERNAL MEDICINE
IOWA CITY IA
52242-1009
US

IV. Provider business mailing address

200 HAWKINS DR DEPT OF INTERNAL MEDICINE
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 319-384-8690
  • Fax: 319-384-5660
Mailing address:
  • Phone: 319-384-8690
  • Fax: 319-384-5660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberH071546
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: