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NPI Code Detail

MEDICARE: ALLYSON VAN SANT

MEDICARE:   ALLYSON  VAN SANT
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
1363L00000XNurse PractitionerA171279IA

General Provider Information

NPI Number : 1861109894
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLYSON VAN SANT
Provider Business Mailing Address
First Line : 350 E CRESTON AVE
Second Line :
City : DES MOINES
State : IA
Zip : 50315-1962
Country : US
Telephone Number : 515-298-4747
Fax Number :
Provider Business Practice Location Address
First Line : 350 E CRESTON AVE
Second Line :
City : DES MOINES
State : IA
Zip : 50315-1962
Country : US
Telephone Number : 515-298-4747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2022
Last Update Date : 08/07/2025

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Directions to “ ALLYSON VAN SANT ” Practice Location

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