Provider Demographics
NPI:1508595257
Name:WEBER, EMILY NICOLE (AUD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:NICOLE
Last Name:WEBER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:NICOLE
Other - Last Name:HANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2900 WESTOWN PKWY STE 360
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-1315
Mailing Address - Country:US
Mailing Address - Phone:515-267-1800
Mailing Address - Fax:515-267-8857
Practice Address - Street 1:2900 WESTOWN PKWY STE 360
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1315
Practice Address - Country:US
Practice Address - Phone:515-267-1800
Practice Address - Fax:515-267-8857
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA113683237600000X
IA108679231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter