Provider Demographics
NPI:1205168069
Name:SCHLEICHER, JUSTINE RUTH (CNM)
Entity type:Individual
Prefix:
First Name:JUSTINE
Middle Name:RUTH
Last Name:SCHLEICHER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 WESTOWN PKWY STE 1101
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-1438
Mailing Address - Country:US
Mailing Address - Phone:515-267-8300
Mailing Address - Fax:515-309-6014
Practice Address - Street 1:2501 WESTOWN PKWY STE 1101
Practice Address - Street 2:
Practice Address - City:WDM
Practice Address - State:IA
Practice Address - Zip Code:50266-1438
Practice Address - Country:US
Practice Address - Phone:515-267-8300
Practice Address - Fax:515-267-8872
Is Sole Proprietor?:No
Enumeration Date:2010-02-04
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA13272367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1205168069Medicaid
IAI22140006Medicare PIN