MEDICARE: ALLISON CHRISTINE PRATT DNP, FNP-C

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	363LF0000X	Family Nurse Practitioner	A160744	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

General Provider Information

NPI Number	:	1558977876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON CHRISTINE PRATT DNP, FNP-C

Provider Business Mailing Address
First Line	:	2304 UNIVERSITY AVE
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50311-4316
Country	:	US
Telephone Number	:	877-811-7526
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 E ARMY POST RD
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50315-5939
Country	:	US
Telephone Number	:	877-811-7526
Fax Number	:

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

Provider Enumeration Date	:	09/22/2020
Last Update Date	:	10/07/2020

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