Individual
ADDIE NOEL KETELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
202 10TH ST SE STE 100, CEDAR RAPIDS, IA 52403-2424
(319) 363-8171
Mailing address
202 10TH ST SE STE 100, CEDAR RAPIDS, IA 52403-2424
(319) 363-8171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A-113254
IA
Other
Enumeration date
03/24/2011
Last updated
04/02/2026
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