Greta Anderson, PA

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Des Moines, IA

NPI 1831723477 · NPPES record last updated Feb 22, 2020

Key facts

NPI
1831723477
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
3200 Grand Ave
Des Moines, IA 50312-4104
Phone
(515) 271-1569
NPI assigned
Feb 22, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Physician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

3200 Grand Ave
Des Moines, IA 50312-4104

Mailing address

1022 N 3Rd St
Ames, IA 50010-5931
Phone (515) 450-6572

Other providers in Des Moines, IA

All providers in Des Moines, IA · Student in an Organized Health Care Education/Training Program in Iowa

Sources for this page

Verify at the official NPI Registry.