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Individual

ASHLEE MISIAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1510 E RUSHOLME ST, DAVENPORT, IA 52803-2463
(563) 336-3000
(563) 324-4160
Mailing address
500 W RIVER DR, DAVENPORT, IA 52801-1014
(563) 336-3000
(563) 324-4160

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A-119850
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1427418276
IA
05
PENDING
IL
Enumeration date
06/22/2016
Last updated
06/30/2017
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