| NPI | 1588789861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN MARIE ERMER-SELTUN Family Nurse Practitioner 641-512-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A072091) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-03-24 |