OrganizationActive
Blank Childrens Hospital
NPI 1063758605 · Pediatric Nurse Practitioner · Pleasant Hill, IA
Provider details
- NPI number
- 1063758605
- Entity type
- Organization
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ken Cheyne, Physician(515) 241-8198
- License
- C-119097 (IA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6540 Ne 12th Ave
Pleasant Hill, IA 50327-8828
Phone: (515) 266-6795
Approximate (ZIP-level) locationGet directions
Mailing address
1200 Pleasant St
Des Moines, IA 50309-1406
Registry dates
- Enumerated
- 2013-01-01
- Last updated
- 2013-01-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.