Provider Demographics
NPI:1306854930
Name:HARMS, DIXIE (ARNP)
Entity Type:Individual
Prefix:
First Name:DIXIE
Middle Name:
Last Name:HARMS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1475
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50305-1475
Mailing Address - Country:US
Mailing Address - Phone:515-358-7750
Mailing Address - Fax:515-358-7751
Practice Address - Street 1:1601 NW 114TH ST
Practice Address - Street 2:SUITE 240
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-7007
Practice Address - Country:US
Practice Address - Phone:515-358-7750
Practice Address - Fax:515-358-7751
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAAO73844363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAPO4229Medicare UPIN
IAI9956Medicare ID - Type Unspecified
IA1247718Medicaid