Healthcare Provider Details

I. General information

NPI: 1508915703
Provider Name (Legal Business Name): LAURIE LIZABETH PIEPER ARNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 01/28/2021
Certification Date: 01/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 S 6TH ST
NEVADA IA
50201-2521
US

IV. Provider business mailing address

1215 DUFF AVE
AMES IA
50010-5469
US

V. Phone/Fax

Practice location:
  • Phone: 515-382-5471
  • Fax: 515-382-5621
Mailing address:
  • Phone: 515-832-6700
  • Fax: 515-832-3534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number102463
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number735505
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: