MR. JOHM PAUL MEDINA BSN
NPI 1447957279
Registered Nurse - Ambulatory Care in Des Moines, IA
Active since February 13, 2023
About Mr. Johm Paul Medina Bsn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHM PAUL MEDINA BSN (NPI 1447957279) is an individual ambulatory care provider in Des Moines, Iowa, licensed in Iowa (149182) and active in the NPI registry since February 2023.
NPPES Registry Identity
NPI1447957279
Entity TypeIndividualMale
Primary Taxonomy163WP2201X
Provider Legal NameMR. JOHM PAUL MEDINACredential: BSN
Location Address3600 30TH STDes Moines, IA 50310-5753
Mailing Address3600 30th StDes Moines, IA 50310-5753 · (515) 699-5999
Phone(515) 699-5999
Sole ProprietorNo
Enumeration DateFebruary 13, 2023
NPPES CertifiedFebruary 13, 2023
✔ NPI 1447957279 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Ambulatory CareNursing Service Providers
Taxonomy Code163WP2201X
License✔ Licensed in IA · 149182
3600 30TH ST, Des Moines, IA 50310
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Pharmacist
3600 30TH ST, PHARMACY DEPT MAIL STOP 119
DES MOINES, IA 50310
DES MOINES, IA 50310
Nurse Practitioner (Psychiatric/Mental Health)
3600 30TH ST, 116A
DES MOINES, IA 50310
DES MOINES, IA 50310
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447957279, enumerated as an "individual" on February 13, 2023.
The provider is located at 3600 30TH ST DES MOINES, IA 50310 and the phone number is (515) 699-5999.
Registered Nurse with taxonomy code 163WP2201X and a focus in Ambulatory Care.