Individual
TRUDY JEAN BADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4300 HAMILTON BLVD, SIOUX CITY, IA 51104-1139
(712) 233-4144
Mailing address
728 LOGAN DR, MOVILLE, IA 51039-7530
(712) 870-0575
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A076509
IA
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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