| NPI | 1306291489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN BAUERLY Practice Manager 712-333-0722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-07-25 |