Healthcare Provider Details

I. General information

NPI: 1376361535
Provider Name (Legal Business Name): EMILY ANNE HOHBACH ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2024
Last Update Date: 09/27/2024
Certification Date: 09/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5950 UNIVERSITY AVE
WEST DES MOINES IA
50266-8216
US

IV. Provider business mailing address

227 NW PIKE CIR
WAUKEE IA
50263-6206
US

V. Phone/Fax

Practice location:
  • Phone: 515-343-7580
  • Fax:
Mailing address:
  • Phone: 515-343-7580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA181381
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: