Wahab, Misty D

Wahab, Misty D is an individual health care provider with primary practice located at 933 E Pierce St , Council Bluffs IA 51503-4626. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wahab, Misty D can be contacted via phone (712) 396-4360.

Contact Information

Primary practice address
933 E Pierce St Council Bluffs IA 51503-4626
Phone: (712) 396-4360
Fax: (712) 396-7069
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A107947 Iowa

Profile Details

NPI number 1861929168
LBN Legal business name Wahab, Misty D
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2017
Last updated Apr 10th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861929168 NPPES
Iowa MEDICAID 1861929168
Iowa MEDICAID 10026327300

Popular Providers