| NPI | 1730893835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKI M SCHNEEKLOTH Office Manager 563-341-7378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2024-01-10 |