Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | H164911 | IA |
NPI | 1013681881 |
---|---|
Provider Name | Elizabeth Ashley Biggerstaff |
First Address | Des Moines, IA 50305-1475 |
Second Address | Des Moines, IA 50314-3027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2021 |
Last Update Date | 21/11/2021 |