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Organization

MVP INTEGRATIVE HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARKIE LYNN VANT HUL ARNP (ARNP/ CO-OWNER /PROVIDER)
(712) 470-1498
Entity
Organization

Contact information

Practice address
1221 PIERCE STREET, SIOUX CITY, IA 51105
(712) 255-0204
(712) 255-1120
Mailing address
1221 PIERCE STREET, SIOUX CITY, IA 51105
(712) 255-0204
(712) 255-1120

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
363LP2300X
Primary Care Nurse Practitioner

Other

Enumeration date
08/02/2019
Last updated
08/02/2019
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