Provider Demographics
NPI:1336625599
Name:MESCHER, SHELBY (ARNP)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:
Last Name:MESCHER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:SHELBY
Other - Middle Name:
Other - Last Name:CRANSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:PO BOX 9170
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50306-9170
Mailing Address - Country:US
Mailing Address - Phone:515-633-3600
Mailing Address - Fax:515-633-3838
Practice Address - Street 1:405 S CLARK ST STE 205
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:IA
Practice Address - Zip Code:51401-3047
Practice Address - Country:US
Practice Address - Phone:712-792-6500
Practice Address - Fax:515-246-4481
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA131672363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner