Individual
RAYDEEN ELIZABETH DERSCHEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
120 S TAYLOR ST, MOUNT AYR, IA 50854-1829
(641) 782-2131
(641) 782-6425
Mailing address
1700 W TOWNLINE ST, CRESTON, IA 50801-1054
(641) 782-7091
(641) 782-3830
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A079797
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A079797
STATE NURSING BOARD
IA
Enumeration date
11/30/2007
Last updated
01/18/2019
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