Daza, Jennifer Ann

Daza, Jennifer Ann is an individual health care provider with primary practice located at 2901 86Th St , Urbandale IA 50322-4204. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Daza, Jennifer Ann can be contacted via phone (515) 276-3406.

Contact Information

Primary practice address
2901 86Th St Urbandale IA 50322-4204
Phone: (515) 276-3406
Fax: (515) 278-2377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 078992 Iowa

Profile Details

NPI number 1841674769
LBN Legal business name Daza, Jennifer Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2015
Last updated Jul 26th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841674769 NPPES
Iowa Other 078992 IOWA LICENSE

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