Provider Demographics
NPI:1225718588
Name:BALES, ERIKA YOUNGQUIST (APRN)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:YOUNGQUIST
Last Name:BALES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 COURT AVE STE 836
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-2236
Mailing Address - Country:US
Mailing Address - Phone:515-207-2988
Mailing Address - Fax:
Practice Address - Street 1:309 COURT AVE STE 836
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-2236
Practice Address - Country:US
Practice Address - Phone:515-207-2988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-21
Last Update Date:2023-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAG176256363LP0808X
WAAP61480296363LP0808X
UT13724038-4405363LP0808X
OR10017607363LP0808X
TN34373363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health