Provider Demographics
NPI:1598467045
Name:HARAJLI, KAYLA (CPM, CNM, ARNP)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:
Last Name:HARAJLI
Suffix:
Gender:F
Credentials:CPM, CNM, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2515 SE 1ST ST
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-8304
Mailing Address - Country:US
Mailing Address - Phone:515-650-0207
Mailing Address - Fax:
Practice Address - Street 1:2485 SE 1ST ST
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-8303
Practice Address - Country:US
Practice Address - Phone:515-650-0207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
176B00000X
IAB175206367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife