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Organization
STILL WATERS MENTAL HEALTH AND WELLNESS PLLC
Active
Organization
STILL WATERS MENTAL HEALTH AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLETTE MABB DNP, ARNP, PMHNP-BC (OWNER)
(563) 774-2083
Entity
Organization
Contact information
Practice address
317 HWY 150 NORTH, WEST UNION, IA 52175
(563) 278-2432
(563) 316-6841
Mailing address
PO BOX 342, WEST UNION, IA 52175-0342
(563) 278-2432
(563) 316-6841
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
12/05/2023
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