Provider Demographics
NPI:1922825363
Name:OPTIMAL HORMONES CLINIC, PLLC
Entity type:Organization
Organization Name:OPTIMAL HORMONES CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEERS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:641-512-6420
Mailing Address - Street 1:185 W HENSCHEN ST
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:IA
Mailing Address - Zip Code:50438-8754
Mailing Address - Country:US
Mailing Address - Phone:641-512-6420
Mailing Address - Fax:
Practice Address - Street 1:604 BUDDY HOLLY PL STE 105
Practice Address - Street 2:
Practice Address - City:CLEAR LAKE
Practice Address - State:IA
Practice Address - Zip Code:50428-1379
Practice Address - Country:US
Practice Address - Phone:641-938-4391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OPTIMAL HORMONES CLINIC, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-25
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center