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General NPI Number Information
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NPI Number | 1720681554
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Entity Type | Individual
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Provider Name | COURTNEY MAKUS AG-ACNP
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Gender | Female
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Dates
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Enumeration Date | 11/16/2020
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1111 DUFF AVCENUE
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City | AMES
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State | IA
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Zip | 50010
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Country | US
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Telephone | 515-239-4472
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Fax | 515-239-4539
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Provider Business Mailing Address
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Address Line | 5211 NW 8TH ST
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City | ANKENY
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State | IA
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Zip | 50023-8013
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Country | US
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Telephone |
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | H159470
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | H159470
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | H159470
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License Number State | IA
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