Healthcare Provider Details

I. General information

NPI: 1518021955
Provider Name (Legal Business Name): TONYA LYNN PUSKI RN, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8191 BIRCHWOOD CT UNIT A
JOHNSTON IA
50131-2931
US

IV. Provider business mailing address

8191 BIRCHWOOD CT UNIT A
JOHNSTON IA
50131-2931
US

V. Phone/Fax

Practice location:
  • Phone: 515-217-4847
  • Fax: 515-257-1499
Mailing address:
  • Phone: 515-217-4847
  • Fax: 515-257-1499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG117104
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number041-345988
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberG-117104
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: