Individual provider · NPI-1

Trudy Jean Bader, NP-C

Nurse Practitioner, Family · Sioux City, IA

NPI number1023515756
StatusActive
Last updated in NPPESApr 9, 2018

Details

NPI
1023515756
Entity type
Individual (NPI-1)
Name
Trudy Jean Bader
Credential
NP-C
Sex
Female
Sole proprietor
No
Enumeration date
Apr 9, 2018
Last updated
Apr 9, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyA076509IAYes

Practice location

4300 Hamilton Blvd
Sioux City, IA 51104-1139

Phone 712-233-4144

Mailing address

728 Logan Dr
Moville, IA 51039-7530

Phone 712-870-0575

Is something wrong?

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