Healthcare Provider Details

I. General information

NPI: 1669386074
Provider Name (Legal Business Name): AMY MARIE HOPKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 WESTOWN PKWY STE 330
WEST DES MOINES IA
50266-2527
US

IV. Provider business mailing address

224 39TH ST
WEST DES MOINES IA
50265-3938
US

V. Phone/Fax

Practice location:
  • Phone: 515-650-4370
  • Fax:
Mailing address:
  • Phone: 515-505-4828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA187016
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: