NICOLE E BRO (NPI# 1841793593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841793593 |
Entity Type | Individual |
Full Name | NICOLE E BRO |
Other Name | NICOLE E MEYER |
Credential | PA-C |
Practice Address |
1215 Pleasant St Ste 100 Des Moines IA 50309-1409 |
Practice Telephone | 5152415710 |
Enumeration Date | 2018-03-08 |
Last Update Date | 2018-03-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
090811 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1215 PLEASANT ST STE 100 |
City | DES MOINES |
State | IA |
Zip Code | 50309-1409 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568658532 | Angela K Grundmeyer | Physician Assistant | 1215 Pleasant St Ste 100, Des Moines, IA 50309-1409 | 2007-09-24 |
1457961476 | Candice Gruss | Nurse Practitioner | 1215 Pleasant St Ste 100, Des Moines, IA 50309-1409 | 2020-08-04 |
1538415575 | Arani Divyanshu Nanavati | Internal Medicine | 1215 Pleasant St Ste 100, Des Moines, IA 50309 | 2012-07-27 |
1790073328 | Dhivya Sundaramurthy | Internal Medicine | 1215 Pleasant St Ste 100, Des Moines, IA 50309 | 2011-07-17 |
1215224589 | Jennifer Lauren Thompson | Internal Medicine | 1215 Pleasant St Ste 100, Des Moines, IA 50309-1409 | 2011-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972126894 | Marie Danielle Leblanc | Surgery | Anna Blank Building, Level 2, Dept Pediatric Surgery, 1206 Pleasant Street, Des Moines, IA 50309 | 2020-05-27 |
1538710421 | Macy Mckendree | Social Worker | 918 Se 11th St., Des Moines, IA 50309 | 2019-09-23 |
1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
1003315011 | Hyvacs, LLC | Durable Medical Equipment & Medical Supplies | 215 10th St Ste 110, Des Moines, IA 50309 | 2018-02-05 |
1770005746 | Jacob Michael Boyle | Chiropractor | 500 Sw 7th St Ste 205, Des Moines, IA 50309 | 2017-07-12 |
1831646140 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 309 Court Ave, Ste 811, Des Moines, Ia, 50309, Ste 811, Des Moines, IA 50309 | 2016-09-02 |
1457807000 | Patricia Bularzik | Social Worker | 808 5th Avenue, Des Moines, IA 50309 | 2016-09-01 |
1396128492 | Sarah Lynn Cavan | Social Worker | 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 | 2015-07-07 |
1104204056 | Andrea Lynn Jones | Social Worker | 600 E Court Ste 200, Des Moines, IA 50309 | 2015-05-12 |
1811388937 | Matthew Zirretta | Physical Therapist | 1515 Linden Street, 1st Floor, Integrated Physical Therapy & Sports Medicine, Des Moines, IA 50309 | 2015-02-11 |
Find all providers in zip 50309 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295282325 | Courtney Lowy | Physician Assistant | 3850 Merle Hay Rd Ste 500, Des Moines, IA 50310-1322 | 2016-09-07 |
1568658532 | Angela K Grundmeyer | Physician Assistant | 1215 Pleasant St Ste 100, Des Moines, IA 50309-1409 | 2007-09-24 |
1730132713 | Liliya V. Bilan | Physician Assistant | 22000 Marine View Dr S, Suite 100, Des Moines, WA 98198-6233 | 2006-05-18 |
1902344799 | Amy Elizabeth Mcgraw | Physician Assistant | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2017-02-01 |
1225574700 | Malarie Bender | Physician Assistant | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2017-01-09 |
1154790517 | Jamie Lynn Schumacher | Physician Assistant | 1111 6th Ave, Des Moines, IA 50314-2613 | 2015-09-16 |
1497172027 | Eric Kyne Hedrick | Physician Assistant | 450 Laurel St, Suite A, Des Moines, IA 50314-3045 | 2014-03-20 |
1265781587 | Lindsey Kay Clark | Physician Assistant | 8421 Plum Dr, Des Moines, IA 50322-7356 | 2012-08-31 |
1043521958 | Margaret Anne Siegel | Physician Assistant | 1111 6th Ave, Emergency Department, Des Moines, IA 50314-2613 | 2010-06-24 |
1376776898 | Emily R Erickson | Physician Assistant | 1111 6th Ave, Des Moines, IA 50314-2613 | 2009-09-01 |
Find all providers in DES MOINES |
City | DES MOINES |
Zip Code | 50309 |
Please comment or provide details below to improve the information on NICOLE E BRO.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.