Blake Wray Standifer, ARNP

Nurse Practitioner · Des Moines, IA

Individual Active NPI

NPI number 1194398818

Practice location

411 Laurel St Ste a250
Des Moines, IA 50314-3029
Phone
(515) 235-5000
Fax
(515) 288-6713

Open in Google Maps

NPI record

NPI
1194398818
Entity type
Individual (Type 1)
Enumeration date
July 20, 2021
Last updated
October 5, 2021
Certified
October 5, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X H164471 IA
Acute Care Nurse Practitioner 363LA2100X H164471 IA

Mailing address

PO Box 9170
Des Moines, IA 50306-9170
Phone
(515) 633-3600
Fax
(515) 633-3838

About Blake Standifer

Blake Wray Standifer, ARNP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 411 Laurel St Ste a250, Des Moines, IA 50314-3029. The NPI number 1194398818 was assigned on July 20, 2021 and the record was last updated on October 5, 2021.

Blake Standifer lists 2 licenses in the registry: #H164471 (IA) for Nurse Practitioner; #H164471 (IA) for Acute Care Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Blake Wray Standifer, ARNP?

The NPI number is 1194398818.

What is the phone number of Blake Standifer?

The phone number listed for the practice location is (515) 235-5000.

Where is Blake Standifer located?

411 Laurel St Ste a250, Des Moines, IA 50314-3029.

What is the taxonomy code for Blake Standifer?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Nurse Practitioner providers in Des Moines

All Nurse Practitioner providers in Des Moines, IA →