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AURORA AESTHETICS AND FUNCTIONAL MEDICINE CLINIC, PLLC
NPI 1184231979
Clinic/Center - Primary Care in Mount Vernon, IA

Active since September 25, 2020CLIA 16D2213350 · Waiver
713 1ST AVE NW, MOUNT VERNON, IA 52314(907) 350-7228 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Aurora Aesthetics And Functional Medicine Clinic, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AURORA AESTHETICS AND FUNCTIONAL MEDICINE CLINIC, PLLC (NPI 1184231979), doing business as Aurora Functional Medicine & Aesthetics Clinic, is a healthcare organization registered as a primary care in Mount Vernon, Iowa and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through February 10, 2027 and lists Stephanie M Friess, Partner, as its authorized official.

NPPES Registry Identity

NPI1184231979
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameAURORA AESTHETICS AND FUNCTIONAL MEDICINE CLINIC, PLLC
Location Address713 1ST AVE NWMount Vernon, IA 52314-1478
Mailing Address713 1st Ave NwMount Vernon, IA 52314-1478 · (907) 350-7228
Phone(907) 350-7228
Organization SubpartNo
Authorized OfficialStephanie M FriessPartner · (907) 350-7228
Enumeration DateSeptember 25, 2020
NPPES CertifiedSeptember 25, 2020
✔ NPI 1184231979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
713 1ST AVE NW, Mount Vernon, IA 52314
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Other Names 1

Doing Business AsAurora Functional Medicine & Aesthetics Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2213350

Aurora Aesthetics And Functional Medicine, PLLC · Mount Vernon, IA
Active · expires Feb 10, 2027
CLIA Number16D2213350
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 11, 2025
Certificate Expiration DateFebruary 10, 2027
Laboratory DirectorStephanie Friess
Laboratory Phone(319) 640-1719
Laboratory LocationAurora Aesthetics And Functional Medicine, PLLC713 1st Ave NW, Mount Vernon, IA 52314
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. STEPHANIE MICHELE FRIESS ANP
Nurse Practitioner
713 1ST AVE NW
MOUNT VERNON, IA 52314
Linn County (907) 350-7228
ERIN MITCHELL DNP
Nurse Practitioner (Pediatrics)
713 1ST AVE NW
MOUNT VERNON, IA 52314
Linn County (319) 895-4080

Frequently Asked Questions

What is AURORA AESTHETICS AND FUNCTIONAL MEDICINE CLINIC, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1184231979, enumerated as an "organization" on September 25, 2020.

Where is the provider located?

The provider is located at 713 1ST AVE NW MOUNT VERNON, IA 52314 and the phone number is (907) 350-7228.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.