Individual
MRS. JODI BANGASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
312 9TH ST SW, WAVERLY, IA 50677-2929
(319) 483-1365
(319) 352-3992
Mailing address
338 HICKORY ST, ALLISON, IA 50602-7801
(641) 425-4346
(319) 267-2234
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
H095679
IA
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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