Individual provider · NPI-1

Samantha Schwenneker, ARNP

Nurse Practitioner, Pediatrics · Grimes, IA

NPI number1265684229
StatusActive
Last updated in NPPESAug 30, 2023

Details

NPI
1265684229
Entity type
Individual (NPI-1)
Name
Samantha Schwenneker
Credential
ARNP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 21, 2008
Certification date
Aug 30, 2023
Last updated
Aug 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, PediatricsC110120IAYes

Practice location

250 Sw Brookside Dr
Grimes, IA 50111-4900

Phone 515-300-3900 · Fax 515-300-3901

Mailing address

Po Box 1475
Des Moines, IA 50305-1475

Phone 515-300-3900 · Fax 515-300-3901

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