Organization · NPI-2
515 Wellness And Aesthetics
Nurse Practitioner, Women's Health · Grimes, IA
NPI number1083469126
StatusActive
Last updated in NPPESSep 2, 2025
Details
- NPI
- 1083469126
- Entity type
- Organization (NPI-2)
- Legal business name
- 515 Wellness And Aesthetics
- Organization subpart
- No
- Enumeration date
- Apr 22, 2024
- Certification date
- Dec 31, 2024
- Last updated
- Sep 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LW0102X | Nurse Practitioner, Women's Health | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Other names
- Jr Health And Beauty Bar (Doing Business As)
Practice location
1830 Se Princeton Dr Ste EGrimes, IA 50111-4826
Phone 515-695-7195
Mailing address
1830 Se Princeton Dr Ste EGrimes, IA 50111-4826
Authorized official
Jenny Myers
Nurse Practitioner, Owner
5155281893
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