Individual
BRANDI DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 UTICA RIDGE RD, BETTENDORF, IA 52722-1626
(563) 742-3201
(563) 742-3205
Mailing address
6214 N CLARK ST, DAVENPORT, IA 52806-1623
(563) 210-1546
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A155880
IA
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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