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NPI Code Detail

MEDICARE: PEARLMARK WELLNESS

MEDICARE: PEARLMARK WELLNESS
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1730034307
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEARLMARK WELLNESS
Provider Business Mailing Address
First Line : 7025 HICKMAN RD STE 5
Second Line :
City : URBANDALE
State : IA
Zip : 50322-4843
Country : US
Telephone Number : 641-226-1570
Fax Number :
Provider Business Practice Location Address
First Line : 7025 HICKMAN RD STE 5
Second Line :
City : URBANDALE
State : IA
Zip : 50322-4843
Country : US
Telephone Number : 641-226-1570
Fax Number :
Authorized Official
Title or Position : OWNER/EMPLOYEE
Name : MICHELLE HANCOCK
Credential : ARNP, PMHNP-BC
Telephone Number : 641-226-1570
Provider Enumeration Date : 02/28/2026
Last Update Date : 02/28/2026

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Directions to “PEARLMARK WELLNESS ” Practice Location

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