Whalio Doctors

NPI 1013559178

Maksim Blidchenko, ARNP

Practitioner Nurse Practitioner Des Moines, IA

Practice location

Address
411 Laurel St STE A250, Des Moines, IA 50314-3029
Phone
(515) 235-5000
Fax
(515) 288-6713
Mailing address
PO Box 9170, Des Moines, IA 50306-9170

Registered specialties

Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence A156720 (IA)

Registry record

NPI
1013559178
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Oct 2019
Record last updated
10 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.