Healthcare Provider Details

I. General information

NPI: 1245141316
Provider Name (Legal Business Name): EMILY DIANE TERLOUW CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 S GEAR AVE
WEST BURLINGTON IA
52655-1679
US

IV. Provider business mailing address

110 N WALNUT AVE
WOODWARD IA
50276-2020
US

V. Phone/Fax

Practice location:
  • Phone: 319-768-1000
  • Fax:
Mailing address:
  • Phone: 641-521-3788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: