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General NPI Number Information
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NPI Number | 1124026042
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Entity Type | Individual
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Provider Name | MINDY KAY GINGERY PMHNP-BC, CRNA
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Gender | Female
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 10/05/2025
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Provider Practice Location Address
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Address Line | 1960 SW MAGAZINE RD
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City | ANKENY
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State | IA
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Zip | 50023-2978
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Country | US
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Telephone | 515-348-6380
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Fax | 515-452-0565
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Provider Business Mailing Address
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Address Line | 10455 NW BEAVER DR
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City | JOHNSTON
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State | IA
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Zip | 50131-2602
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Country | US
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Telephone | 515-988-1564
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | G184388
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | D093454
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License Number State | IA
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