MEDICARE: EMMANUEL O BEMPAH

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	363LP2300X	Primary Care Nurse Practitioner	A189411	IA

General Provider Information

NPI Number	:	1326972365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMANUEL O BEMPAH

Provider Business Mailing Address
First Line	:	185 S 87TH ST
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-8320
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7105 NW 70TH AVE
Second Line	:
City	:	JOHNSTON
State	:	IA
Zip	:	50131-1824
Country	:	US
Telephone Number	:	515-252-4910
Fax Number	:

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

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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Directions to “ EMMANUEL O BEMPAH ” Practice Location

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