LORRAINE CHIDESTER

JOHNSTON, IA
NPI1477019446
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IA  G155077)
Enumeration Date2019-02-14
Last Update Date2022-10-04
Business Address
LORRAINE CHIDESTER APRN, PMHNP
5408 NW 88TH ST STE 140
JOHNSTON, IA 50131-2953
Phone number: 515-368-7504
Mailing Address
LORRAINE CHIDESTER APRN, PMHNP
5408 NW 88TH ST STE 140
JOHNSTON, IA 50131-2953
Phone number: 515-368-7504
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