REALM AESTHETICS NPI 1174418859

NPI Information

  • NPI: 1174418859
  • Provider Name: REALM AESTHETICS
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 1220 NE CROSSING STATION DRIVE
    SUITE 110
    GRIMES, IA
    ZIP 50111
  • Phone: (515) 230-7592

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NPI Details

REALM AESTHETICS is a clinic center in Grimes, IA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). REALM AESTHETICS NPI is 1174418859. The provider is registered as an organization entity type.

The provider's business location address is:

1220 NE CROSSING STATION DRIVE
SUITE 110
GRIMES, IA
ZIP 50111
Phone: (515) 230-7592

The provider's authorized official is Krystal Or Stephanie Ann Blomgren .
The authorized official title is Founder/lead Injector and has the following contact phone number (515) 230-7592.

The enumeration date for this NPI number is 6/11/2025 and was last updated on 6/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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