| NPI | 1598325698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARLENE M ANGELL Nurse Practitioner 563-538-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-07-31 |