NPI 1124486436 · live from the CMS NPI Registry
Amanda Collicott, ARNP
Nurse Practitioner, Family in Des Moines, IA. National Provider Identifier 1124486436, active.
NPI record
| NPI | 1124486436 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 1801 Hickman Rd, Des Moines, IA 50314 |
| Practice phone | 515-282-2200 |
| Mailing address | 5104 70th St, Urbandale, IA 50322 |
| Enumerated | February 1, 2016 |
| Last updated | February 1, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | A114412 (IA) |
| Nurse Practitioner, Pediatrics | 363LP0200X | A114412 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.