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Individual

TERESA H VERSTRAETE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1351 W CENTRAL PARK AVE, STE 4300, DAVENPORT, IA 52804-1853
(563) 383-2763
(563) 328-5500
Mailing address
1351 W CENTRAL PARK AVE, STE 4300, DAVENPORT, IA 52804-1853
(563) 383-2763
(563) 328-5500

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A066913
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31334
BCBS
IA
Enumeration date
10/19/2005
Last updated
07/08/2007
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