Basic Information
Provider Information
NPI: 1386636207
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VOLKMER
FirstName: LUANN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: BESCH
OtherFirstName: LUANN
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 1200 PLEASANT ST
Address2: CHILDRENS HOSPITAL PHYSICIANS
City: DES MOINES
State: IA
PostalCode: 503091406
CountryCode: US
TelephoneNumber: 5152415926
FaxNumber: 5152415127
Practice Location
Address1: 1212 PLEASANT ST
Address2: SUITE 406
City: DES MOINES
State: IA
PostalCode: 503091414
CountryCode: US
TelephoneNumber: 5152418336
FaxNumber: 5152416465
Other Information
ProviderEnumerationDate: 08/17/2005
LastUpdateDate: 09/29/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XA079831IAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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