Iowa Nurse Practitioner Associates, P.C.
Community/Behavioral Health in Iowa City, IA. Organization (NPI-2).
NPI number1013153436
StatusActive
Last updated in NPPESJan 7, 2009
Details
- NPI
- 1013153436
- Entity type
- Organization (NPI-2)
- Legal business name
- Iowa Nurse Practitioner Associates, P.C.
- Organization subpart
- No
- Enumeration date
- Jan 7, 2009
- Last updated
- Jan 7, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 115825 | IA | Yes |
Practice location
1700 S 1st AveSuite 21
Iowa City, IA 52240-6036
Phone 319-899-2529
Mailing address
1700 S 1st AveSuite 21
Iowa City, IA 52240-6036
Phone 319-899-2529
Authorized official
Robert William Detlefsen
Psychiatric Nurse Practitioner
3198992529
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