Organization
IOWA NURSE PRACTITIONER ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WILLIAM DETLEFSEN RN, MS, FPMH-NP (PSYCHIATRIC NURSE PRACTITIONER)
(319) 899-2529
Entity
Organization
Contact information
Practice address
1700 S 1ST AVE, SUITE 21, IOWA CITY, IA 52240-6036
(319) 899-2529
Mailing address
1700 S 1ST AVE, SUITE 21, IOWA CITY, IA 52240-6036
(319) 899-2529
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
115825
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0730648
—
IA
Enumeration date
01/07/2009
Last updated
01/07/2009
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