Individual provider · NPI-1
Nancy Aquadro, DO
Family Medicine · Des Moines, IA
NPI number1255349049
StatusActive
Last updated in NPPESApr 27, 2010
Details
- NPI
- 1255349049
- Entity type
- Individual (NPI-1)
- Name
- Nancy Aquadro
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2006
- Last updated
- Apr 27, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 02358 | IA | Yes |
Practice location
1350 Des Moines StSuite 110
Des Moines, IA 50309-5502
Phone 515-643-0833 · Fax 515-643-0933
Mailing address
Po Box 1475Des Moines, IA 50305-1475
Phone 515-643-0833 · Fax 515-643-0933
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