Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 036146403 | IL |
Y | 208000000X | Pediatrician | MD-47283 | IA |
NPI | 1003296948 |
---|---|
Provider Name | Dr. Joy Eleanor Hanson |
First Address | West Des Moines, IA 50266-9317 |
Second Address | West Des Moines, IA 50266-8233 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2015 |
Last Update Date | 17/08/2021 |