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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TERA NICOLE DIEWOLD, PA

Active

TERA NICOLE DIEWOLD, PA is a Physician Assistant healthcare provider located in WEST DES MOINES, Iowa. NPI 1801047170 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WEST DES MOINES, IA

Registration Details

NPI Number
1801047170
Provider Type
Individual
Gender
Female
NPI Issued
Oct 6, 2008 (17.834573187636 yrs)
Last Updated
Mar 22, 2016
Licenses
10492 (MN)
002114 (IA)

Practice Information

Address
6000 UNIVERSITY AVE
STE 101
WEST DES MOINES, IA, 502668203
Browse IA providers · Browse ZIP 50266
Phone
5152412600
Fax
5152412032
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in WEST DES MOINES, IA

Name Credential NPI
SUSAN LYNN SCHOOLER P.A.-C. 1942202528
MS. MICHELLE HAUGER KURTZ P.A.-C. 1487656039
KELLEY ANN PETERSON P.A.-C. 1477555886
MRS. SUSAN RHYAN PA-C 1164419792
LISA WELLS PA-C 1093702409
MR. KEVIN J. PRATER PA-C 1194706176
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.