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STACEY ANN PETTORINI BSN,RN
NPI 1558077057
Registered Nurse - Administrator in Des Moines, IA

Active since January 27, 2023
3600 30TH ST, DES MOINES, IA 50310(515) 699-3190(515) 699-5736 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey Ann Pettorini Bsn,rn NPPES

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

STACEY ANN PETTORINI BSN,RN (NPI 1558077057) is an individual administrator provider in Des Moines, Iowa, licensed in Iowa (111512) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1558077057
Entity TypeIndividualFemale
Primary Taxonomy163WA2000X
Provider Legal NameSTACEY ANN PETTORINICredential: BSN,RN
Location Address3600 30TH STDes Moines, IA 50310-5753
Mailing Address3600 30th StDes Moines, IA 50310-5753 · (515) 699-3190 · Fax (515) 699-5736
Phone(515) 699-3190
Fax(515) 699-5736
Sole ProprietorNo
Enumeration DateJanuary 27, 2023
NPPES CertifiedJanuary 27, 2023
✔ NPI 1558077057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers
Taxonomy Code163WA2000X
License✔ Licensed in IA · 111512
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 111512 (IA)
3600 30TH ST, Des Moines, IA 50310
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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.

JESS THOMPSON PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3600 30TH ST
DES MOINES, IA 50310
Polk County (515) 699-5999
MRS. QUINTA AWAH-NDANG MBONGHO
Licensed Practical Nurse
3600 30TH ST
DES MOINES, IA 50310
Polk County (515) 699-5999
WENDY FREESMEIER RN
Registered Nurse (Case Management)
3600 30TH ST
DES MOINES, IA 50310
Polk County (515) 699-5999
TABETHA TARA SCHRODER NP-C
Nurse Practitioner (Family)
3600 30TH ST
DES MOINES, IA 50310
Polk County (515) 669-7108
DR. NATALIE S GULBRANSON PHARMD
Pharmacist (Ambulatory Care)
3600 30TH ST, VACIHCS PHARMACY 119
DES MOINES, IA 50310
Polk County (515) 699-5999
KIMBERLY REDEKER PHARMD
Pharmacist
3600 30TH ST
DES MOINES, IA 50310
Polk County (515) 699-5999
MRS. MARY STEIM
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3600 30TH ST
DES MOINES, IA 50310
Polk County (515) 699-5999
DR. JENNIFER DAHMS DPT
Military Health Care Provider
3600 30TH ST
DES MOINES, IA 50310
Polk County (515) 306-8315

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Pettorini's NPI number?

The NPI number for Stacey Pettorini is 1558077057. It was assigned to this individual provider in the NPPES registry on January 27, 2023.

Where is Stacey Pettorini located?

Stacey Pettorini practices at 3600 30th St, Des Moines, IA 50310. The listed phone number is (515) 699-3190.

What is Stacey Pettorini's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Administrator, with taxonomy code 163WA2000X.

When was this NPI record last updated?

The NPPES record for Stacey Pettorini was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.