| NPI | 1265683718 |
|---|---|
| Other Name | ARNP |
| Entity Type | Organization |
| Authorized Contact | VINCENT J MANDRACCHIA Chief Medical Officer 515-282-2562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |