Provider Demographics
NPI:1679925069
Name:ENGEL, COURTNEY LEIGH HENN (PA-C)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:LEIGH HENN
Last Name:ENGEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:LEIGH
Other - Last Name:HENN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-351-6852
Mailing Address - Fax:319-351-2625
Practice Address - Street 1:269 N 1ST AVE
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-3645
Practice Address - Country:US
Practice Address - Phone:319-351-6852
Practice Address - Fax:319-351-2625
Is Sole Proprietor?:No
Enumeration Date:2016-07-08
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA083627363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical