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Organization
COUNTY OF BLACK HAWK
Active
Organization
COUNTY OF BLACK HAWK
Active
Other names
Black Hawk County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAFISSA CISSE EGBUONYE (DIRECTOR)
(319) 291-2413
Entity
Organization
Contact information
Practice address
1407 INDEPENDENCE AVE FL 5, WATERLOO, IA 50703-4396
(319) 291-2413
(319) 291-2418
Mailing address
1407 INDEPENDENCE AVE FL 5, WATERLOO, IA 50703-4396
(319) 291-2413
(319) 291-2418
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
IA
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/20/2014
Last updated
02/05/2019
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