Court Ade Valid NPI

Individual provider · Licensed Practical Nurse · Des Moines, IA

NPI

1629312475

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

P45850 (IA)

Sex

Female

Sole proprietor

No

Enumerated

2012-11-17

Last updated

2012-11-17