| NPI | 1821143207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J VERMILLION President 515-266-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA 01866) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2011-03-01 |