Provider Demographics
NPI:1417213745
Name:DEWES, NANCY L (EDS)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:L
Last Name:DEWES
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27374 TIMBER AVENUE
Mailing Address - Street 2:BOX 98
Mailing Address - City:PULASKI
Mailing Address - State:IA
Mailing Address - Zip Code:52584-0098
Mailing Address - Country:US
Mailing Address - Phone:515-975-4609
Mailing Address - Fax:
Practice Address - Street 1:724 N 3RD ST
Practice Address - Street 2:BOX 845
Practice Address - City:BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52601-5001
Practice Address - Country:US
Practice Address - Phone:319-752-4000
Practice Address - Fax:319-752-6933
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00435101YM0800X
IA038611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical