Individual
THOMAS M PANICUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP ARNP
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3537
(319) 384-6955
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3537
(319) 384-6955
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
C174109
IA
363LA2100X
Acute Care Nurse Practitioner
C174109
IA
363LP0200X
Pediatric Nurse Practitioner
Primary
C174109
IA
Other
Enumeration date
06/23/2020
Last updated
07/13/2023
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