| NPI | 1124112677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTIN A HENDRICKSON CEO/Administrator 712-382-1515 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-06-01 |