THE VILLAGE CLINIC, LLC
NPI 1508695032
Nurse Practitioner - Primary Care in Davenport, IA
Active since August 01, 2024
About The Village Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE VILLAGE CLINIC, LLC (NPI 1508695032) is a healthcare organization registered as a primary care in Davenport, Iowa and active in the NPI registry since August 2024. The organization lists Amanda M Disch, Owner/nurse Practitioner, as its authorized official.
NPPES Registry Identity
NPI1508695032
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameTHE VILLAGE CLINIC, LLC
Location Address2107 E 12TH STDavenport, IA 52803-3706
Mailing Address2107 E 12th StDavenport, IA 52803-3706 · (563) 286-0743 · Fax (563) 204-1179
Phone(563) 362-3312
Fax(563) 204-1179
Organization SubpartNo
Authorized OfficialAmanda M DischOwner/nurse Practitioner · (563) 499-0437
Enumeration DateAugust 1, 2024
Last NPPES UpdateFebruary 25, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1508695032 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
2107 E 12TH ST, Davenport, IA 52803
Other Names 2
Other NameAmanda Disch, Arnp
Other NameThe Village Clinic
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508695032, enumerated as an "organization" on August 01, 2024.
The provider is located at 2107 E 12TH ST DAVENPORT, IA 52803 and the phone number is (563) 362-3312.
Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.
