MEDICARE: LIZABETH MARIE PRICE 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
1	363L00000X	Nurse Practitioner	A073115	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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	250175	OTHER	IA	MIDLANDS CHOICE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578548293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIZABETH MARIE PRICE ARNP

Provider Business Mailing Address
First Line	:	PO BOX 1475
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50306-1475
Country	:	US
Telephone Number	:	515-643-4973
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 AURORA AVE
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50322-2800
Country	:	US
Telephone Number	:	515-270-1177
Fax Number	:

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

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	08/12/2013

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Directions to “ LIZABETH MARIE PRICE ARNP” Practice Location

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