Healthcare Provider Details

I. General information

NPI: 1164300455
Provider Name (Legal Business Name): HALEY NEMMERS PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5950 UNIVERSITY AVE
WEST DES MOINES IA
50266-8216
US

IV. Provider business mailing address

1306 66TH ST
WINDSOR HEIGHTS IA
50324-1721
US

V. Phone/Fax

Practice location:
  • Phone: 515-875-9000
  • Fax:
Mailing address:
  • Phone: 480-433-6770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: