| Iowa Nurse Practitioner Associates, P.c. | |
|
1700 S 1st Ave Suite 21 Iowa City IA 52240-6036 | |
| (319) 899-2529 | |
| Not Available |
| Full Name | Iowa Nurse Practitioner Associates, P.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1700 S 1st Ave, Iowa City, Iowa |
| Authorized Official Name and Position | Robert William Detlefsen (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 3198992529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iowa Nurse Practitioner Associates, P.c. 1700 S 1st Ave Suite 21 Iowa City IA 52240-6036 Ph: (319) 899-2529 | Iowa Nurse Practitioner Associates, P.c. 1700 S 1st Ave Suite 21 Iowa City IA 52240-6036 Ph: (319) 899-2529 |
| NPI Number | 1013153436 |
|---|---|
| Provider Enumeration Date | 01/07/2009 |
| Last Update Date | 01/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013153436 | NPI | - | NPPES |
| 0730648 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 115825 (Iowa) | Primary |
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