| NPI | 1487855698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLLE LEA AMOS Family Nurse Practitioner 641-423-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-12-13 |