| NPI | 1194432864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIE BURDS Owner 563-451-3273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2023-03-03 |