Individual provider · NPI-1
Dr. Jennifer R Aanestad, M.D.
Family Medicine · Durant, IA
NPI number1386649341
StatusActive
Last updated in NPPESJul 17, 2007
Details
- NPI
- 1386649341
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jennifer R Aanestad
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2005
- Last updated
- Jul 17, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 35343 | IA | Yes |
Practice location
619 5th StDurant, IA 52747-7737
Phone 563-785-4487 · Fax 563-785-6681
Mailing address
865 Lincoln RdSte L10
Bettendorf, IA 52722-4159
Phone 563-355-9191 · Fax 563-355-3419
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