Healthcare Provider Details

I. General information

NPI: 1568054831
Provider Name (Legal Business Name): KAYLA MARIE TAFOLLA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS KAYLA MARIE NIELSEN

II. Dates (important events)

Enumeration Date: 02/08/2021
Last Update Date: 03/11/2024
Certification Date: 03/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 BANK ST
WEBSTER CITY IA
50595-2204
US

IV. Provider business mailing address

1215 DUFF AVE
AMES IA
50010-5469
US

V. Phone/Fax

Practice location:
  • Phone: 515-832-6700
  • Fax:
Mailing address:
  • Phone: 515-239-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA162207
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA162207
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: