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Contact Information

AMANDA COLLICOTT I, ARNP
1801 HICKMAN RD
DES MOINES, IA50314-1505
 Phone: 515-282-2200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AMANDA COLLICOTT I · (Female)

NPI Number 1124486436
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 02/01/2016
Last updated 02/01/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IA License # A114412
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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