| NPI | 1508695032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA M DISCH Owner/Nurse Practitioner 563-499-0437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2025-02-25 |