Healthcare Provider Details

I. General information

NPI: 1508524877
Provider Name (Legal Business Name): STEPHANIE NICHOLE BECKER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE NICHOLE SALADINO

II. Dates (important events)

Enumeration Date: 12/03/2021
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 N 9TH AVE
VINTON IA
52349-2254
US

IV. Provider business mailing address

788 8TH AVE SE STE 300
CEDAR RAPIDS IA
52401-2106
US

V. Phone/Fax

Practice location:
  • Phone: 319-472-6300
  • Fax: 319-472-2524
Mailing address:
  • Phone: 319-369-4542
  • Fax: 319-369-4543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA166571
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: