Amy Childerston

NPI 1740336155 · on the registry since 2007 · sole proprietor

Practice

Address: 1610 Vermeer Rd E
Pella, IA 50219
Phone: (641) 621-7470
Fax: (641) 621-7471
Organisation at this address: Premise Health Of Iowa Medical P C
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: IA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa