Hericks, Desiree M

Hericks, Desiree M is an individual health care provider with primary practice located at 201 Ridge St Ste 312 , Council Bluffs IA 51503-4643. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Hericks, Desiree M can be contacted via phone (712) 396-7880.

Contact Information

Primary practice address
201 Ridge St Ste 312 Council Bluffs IA 51503-4643
Phone: (712) 396-7880
Fax: (712) 396-7885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X B142120 Iowa

Profile Details

NPI number 1437523479
LBN Legal business name Hericks, Desiree M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2015
Last updated Jul 3rd, 2019 - about 6 years ago

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 1437523479 NPPES
Nebraska MEDICAID 10026211300
Nebraska MEDICAID 10026480117
Nebraska MEDICAID 1437523479

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