MEGAN L STUKENHOLTZ ARNP NPI 1629331848

NPI Information

NPI: 1629331848
Provider Name: MEGAN L STUKENHOLTZ, ARNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2815 100TH ST # 113
URBANDALE, IA
ZIP 50322
Phone: (515) 344-7755
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Megan L Stukenholtz, ARNP is a psychiatric/mental health nurse practitioner in Urbandale, IA. Megan L Stukenholtz, ARNP NPI is 1629331848. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2815 100TH ST # 113
URBANDALE, IA
ZIP 50322-860
Phone: (515) 344-7755
Fax: (515) 809-3855

The NPI 1629331848 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/21/2012 and was last updated on 4/22/2024.

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
1	363LF0000X	Nurse Practitioner	Family	118802	IOWA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	118802	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1629331848	MEDICAID	IOWA
2	P01353127	OTHER	IOWA	RR MEDICARE

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: 5/5/2024

NPI Synchronization or Removal

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