Healthcare Provider Details

I. General information

NPI: 1720054596
Provider Name (Legal Business Name): SHEILA MAREAN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 06/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4949 WESTOWN PKWY SUITE 140
WEST DES MOINES IA
50266-6702
US

IV. Provider business mailing address

4949 WESTOWN PKWY SUITE 140
WEST DES MOINES IA
50266-6702
US

V. Phone/Fax

Practice location:
  • Phone: 515-223-5466
  • Fax: 515-223-5405
Mailing address:
  • Phone: 515-223-5466
  • Fax: 515-223-5405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberF-065611
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: