Clevenger, Diane E

Clevenger, Diane E is an individual health care provider with primary practice located at 3509 E 29Th St , Des Moines IA 50317-4253. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Clevenger, Diane E can be contacted via phone (515) 248-1600.

Contact Information

Primary practice address
3509 E 29Th St Des Moines IA 50317-4253
Phone: (515) 248-1600
Fax: (515) 248-1610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X F056547 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X F056547 Iowa

Profile Details

NPI number 1356315824
LBN Legal business name Clevenger, Diane E
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Oct 10th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356315824 NPPES
Iowa MEDICAID 1436535
Iowa MEDICAID 0436535
Iowa MEDICAID 1356315824

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