IndividualActive
Betsy Bolton, PA-C
NPI 1144574997 · Surgical Physician Assistant · Clive, IA
Provider details
- NPI number
- 1144574997
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 002351 (IA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
12499 University Ave Ste 210
Clive, IA 50325-8288
Phone: (515) 440-2676
Fax: (515) 440-2677
Approximate (ZIP-level) locationGet directions
Mailing address
2425 Westown Pkwy Ste 100
West Des Moines, IA 50266-1425
Registry dates
- Enumerated
- 2012-11-01
- Last updated
- 2024-06-13
- Certified
- 2024-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.