Provider Demographics
NPI:1316161227
Name:CAMBRON, NANCY (ARNP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:CAMBRON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1475
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50305-1475
Mailing Address - Country:US
Mailing Address - Phone:515-358-9600
Mailing Address - Fax:515-358-9650
Practice Address - Street 1:1449 NW 128TH ST STE 100
Practice Address - Street 2:
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-7425
Practice Address - Country:US
Practice Address - Phone:515-358-9600
Practice Address - Fax:515-358-9650
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA058914363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA166464OtherHEALTH ALLIANCE
IA44067043Medicare PIN