| Triune Health And Wellness | |
|
715 Cottage St Adel IA 50003-2111 | |
| (515) 478-9660 | |
| Not Available |
| Full Name | Triune Health And Wellness |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 715 Cottage St, Adel, Iowa |
| Authorized Official Name and Position | Delecia Crannell (OWNER/PROVIDER) |
| Authorized Official Contact | 5154789660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triune Health And Wellness 715 Cottage St Adel IA 50003-2111 Ph: (515) 478-9660 | Triune Health And Wellness 715 Cottage St Adel IA 50003-2111 Ph: (515) 478-9660 |
| NPI Number | 1114551223 |
|---|---|
| Provider Enumeration Date | 02/27/2020 |
| Last Update Date | 03/23/2022 |
| Medicare PECOS PAC ID | 6901293471 |
|---|---|
| Medicare Enrollment ID | O20220502001307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114551223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Delecia J Crannell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942555172 PECOS PAC ID: 4587920251 Enrollment ID: I20171113003125 |
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