| NPI | 1295423531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIV KELLEY-SELLNAU Owner/A RN P 319-333-9945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-04-25 |