MEDICARE: OPTIMAL HORMONES CLINIC, PLLC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1922825363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMAL HORMONES CLINIC, PLLC

Provider Business Mailing Address
First Line	:	185 W HENSCHEN ST
Second Line	:
City	:	GARNER
State	:	IA
Zip	:	50438-8754
Country	:	US
Telephone Number	:	641-512-6420
Fax Number	:

Provider Business Practice Location Address
First Line	:	604 BUDDY HOLLY PL STE 105
Second Line	:
City	:	CLEAR LAKE
State	:	IA
Zip	:	50428-1379
Country	:	US
Telephone Number	:	641-938-4391
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER/OWNER
Name	:	KRISTA SWEERS
Credential	:	ARNP
Telephone Number	:	641-512-6420

Provider Enumeration Date	:	09/25/2024
Last Update Date	:	07/14/2025

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