Healthcare Provider Details

I. General information

NPI: 1659904399
Provider Name (Legal Business Name): NATASHA ANN MYERS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2020
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 W 2ND ST
OTTUMWA IA
52501-2504
US

IV. Provider business mailing address

203 W 2ND ST
OTTUMWA IA
52501-2504
US

V. Phone/Fax

Practice location:
  • Phone: 641-436-7763
  • Fax:
Mailing address:
  • Phone: 641-680-3242
  • Fax: 641-575-6445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA158048
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG181985
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: