NPI | 1295715001 |
---|---|
Entity Type | Organization |
Authorized Contact | PENNY DICKEY COO 515-235-0450 |
Organization Subpart ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA 33019) |
Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2006-01-18 |
Last Update Date | 2014-05-07 |