MARY KAY NISSEN

SIOUX CITY, IA
NPI1659604403
Former NameMARY KAY STUDER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IA  A-076138)
Enumeration Date2009-09-11
Last Update Date2023-10-03
Business Address
MARY KAY NISSEN
3303 REBECCA ST
SIOUX CITY, IA 51104-2324
Phone number: 712-279-5458
Mailing Address
MARY KAY NISSEN
3303 REBECCA ST
SIOUX CITY, IA 51104-2324
Phone number: 712-279-5458
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