Provider Demographics
NPI:1386636207
Name:VOLKMER, LUANN (ARNP)
Entity Type:Individual
Prefix:
First Name:LUANN
Middle Name:
Last Name:VOLKMER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:LUANN
Other - Middle Name:
Other - Last Name:BESCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 PLEASANT ST
Mailing Address - Street 2:CHILDRENS HOSPITAL PHYSICIANS
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-1406
Mailing Address - Country:US
Mailing Address - Phone:515-241-5926
Mailing Address - Fax:515-241-5127
Practice Address - Street 1:1212 PLEASANT ST
Practice Address - Street 2:SUITE 406
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1414
Practice Address - Country:US
Practice Address - Phone:515-241-8336
Practice Address - Fax:515-241-6465
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA079831363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
I8856Medicare ID - Type Unspecified
P82375Medicare UPIN