| NPI | 1407269087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM HECKETHORN Administrative Assistant 515-241-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SE0003X Clinical Nurse Specialist Emergency |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |