Provider Demographics
NPI:1346062163
Name:REMPE, AUTUMN RENEE (RN, BSN)
Entity type:Individual
Prefix:
First Name:AUTUMN
Middle Name:RENEE
Last Name:REMPE
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 NW 20TH LN UNIT 104
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-9387
Mailing Address - Country:US
Mailing Address - Phone:515-661-8960
Mailing Address - Fax:
Practice Address - Street 1:2920 NW 20TH LN UNIT 104
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-9387
Practice Address - Country:US
Practice Address - Phone:515-661-8960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA130275163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine