| NPI | 1124307129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLA SUE NEDERHOFF Clinic Manager 641-847-2625 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA 118827) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2020-12-03 |