Individual
MS. AMANDA L. VERVAECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
1825 LOGAN AVE, WOUND & OSTOMY CLINIC, WATERLOO, IA 50703-1916
(319) 235-3121
(319) 226-2113
Mailing address
1825 LOGAN AVE, WOUND & OSTOMY CLINIC, WATERLOO, IA 50703-1916
(319) 235-3121
(319) 226-2113
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A-094001
IA
Other
Enumeration date
03/16/2006
Last updated
08/23/2010
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