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GROWING WITH YOU PEDIATRICS NPI 1770365843


NPI Information

NPI: 1770365843
Provider Name: GROWING WITH YOU PEDIATRICS
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Organization

Specialization: Pediatrics

CLIA Number: 16D2293516

Address:
1075 GOLDEN VALLEY DR
BETTENDORF, IA
ZIP 52722
Phone: (563) 900-5996
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GROWING WITH YOU PEDIATRICS is a pediatrics nurse practitioner in Bettendorf, IA. GROWING WITH YOU PEDIATRICS NPI is 1770365843. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1075 GOLDEN VALLEY DR
BETTENDORF, IA
ZIP 52722-649
Phone: (563) 900-5996
Fax: (563) 900-5997

The provider's authorized official is Tina Katherine Coakley .
The authorized official title is Owner/provider and has the following contact phone number (563) 357-3061.

The CLIA number assigned to this NPI record is 16D2293516 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2023 and was last updated on 10/13/2023.


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
1363LP0200XNurse PractitionerPediatricsYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.