Provider Demographics
NPI:1154732881
Name:UEDING, DARLA (RN)
Entity type:Individual
Prefix:
First Name:DARLA
Middle Name:
Last Name:UEDING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 S GOODRICH ST
Mailing Address - Street 2:
Mailing Address - City:COLFAX
Mailing Address - State:IA
Mailing Address - Zip Code:50054-1742
Mailing Address - Country:US
Mailing Address - Phone:515-674-3147
Mailing Address - Fax:
Practice Address - Street 1:2555 GUTHRIE AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50317-3054
Practice Address - Country:US
Practice Address - Phone:515-299-1741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-15
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA091263163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator