Healthcare Provider Details

I. General information

NPI: 1881020436
Provider Name (Legal Business Name): CHARLEEN ANNETTE OSTREM ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2013
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4546 CORPORATE DR STE 155
WEST DES MOINES IA
50266-5911
US

IV. Provider business mailing address

1507 LINDEN ST
ADEL IA
50003-1696
US

V. Phone/Fax

Practice location:
  • Phone: 515-452-8221
  • Fax: 515-452-8220
Mailing address:
  • Phone: 515-724-9065
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA107706
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: