Individual
LEEANN HOODJER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
WAVERLY HEALTH CENTER, 312 9TH STREET SW, WAVERLY, IA 50677
(319) 352-4120
Mailing address
312 9TH ST SW, WAVERLY, IA 50677-2999
(319) 352-4120
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A-110925
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G110925
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076372
—
IA
Enumeration date
08/19/2008
Last updated
01/19/2023
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