Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State University of Iowa

Organization Pediatric Registered Nurse · NPI 1225177579

State University of Iowa is a Pediatric Registered Nurse in Council Bluffs, Iowa. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

3501 Harry Langdon Blvd Ste 1450 Child Health Specialty Clinics
Council Bluffs, IA 51503-7837
Phone: (712) 309-0041
Fax: (712) 309-0044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Registered Nurse (primary) Taxonomy 163WP0200X

Record details

NPI number1225177579
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Roudabush — Director, Patient Financial Service · (319) 384-2334
Other names Chsc Ped Screening Center
NPI enumeratedFebruary 5, 2007
Last updated in NPPESMarch 1, 2012
Mailing address100 Hawkins Drive, Child Health Specialty Clinics, Iowa City, IA 52242