MEDICARE: JULIE NOLAN MEILANDER PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	02528	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	35701	OTHER	IA	WELLMARK BC/BS

General Provider Information

NPI Number	:	1154328987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE NOLAN MEILANDER PT

Provider Business Mailing Address
First Line	:	4875 MILLS CIVIC PKWY
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50265-5268
Country	:	US
Telephone Number	:	515-440-6700
Fax Number	:	515-441-6715

Provider Business Practice Location Address
First Line	:	4875 MILLS CIVIC PKWY
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50265-5268
Country	:	US
Telephone Number	:	515-440-6700
Fax Number	:	515-441-6715

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	07/08/2007

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Directions to “ JULIE NOLAN MEILANDER PT” Practice Location

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