Healthcare Provider Details

I. General information

NPI: 1023517125
Provider Name (Legal Business Name): HOLLY E LABERTEW ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2018
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 WOODLAND AVE STE 410
WEST DES MOINES IA
50266-1937
US

IV. Provider business mailing address

3737 WOODLAND AVE STE 410
WEST DES MOINES IA
50266-1937
US

V. Phone/Fax

Practice location:
  • Phone: 515-500-6082
  • Fax: 515-337-9142
Mailing address:
  • Phone: 515-500-6082
  • Fax: 515-337-9142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA115236
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG170280
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: