Healthcare Provider Details

I. General information

NPI: 1003762329
Provider Name (Legal Business Name): OLIVE BRANCH HEALTH CARE SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 UNIVERSITY AVE STE 426
WEST DES MOINES IA
50266-5945
US

IV. Provider business mailing address

4200 UNIVERSITY AVE STE 426
WEST DES MOINES IA
50266-5945
US

V. Phone/Fax

Practice location:
  • Phone: 260-226-7848
  • Fax: 260-233-6054
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: STACY MEITLER
Title or Position: OWNER
Credential: NP
Phone: 517-410-8347