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NPI Code Detail

MEDICARE: DIANE E CLEVENGER ARNP

MEDICARE: DIANE E CLEVENGER ARNP
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
1363LW0102XWomen's Health Nurse PractitionerF056547IA
2367A00000XAdvanced Practice MidwifeF056547IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356315824
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE E CLEVENGER ARNP
Provider Business Mailing Address
First Line : 1200 UNIVERSITY AVE STE 200
Second Line :
City : DES MOINES
State : IA
Zip : 50314-2355
Country : US
Telephone Number : 515-248-1447
Fax Number : 515-248-1440
Provider Business Practice Location Address
First Line : 3509 E 29TH ST
Second Line :
City : DES MOINES
State : IA
Zip : 50317-4253
Country : US
Telephone Number : 515-248-1600
Fax Number : 515-248-1610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 10/10/2023

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Directions to “ DIANE E CLEVENGER ARNP” Practice Location

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