Individual
ROBERT W DETLEFSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
455 N MCKENZIE LN, NORTH LIBERTY, IA 52317-8901
(319) 471-2479
Mailing address
5060 COUNTY ROAD 306, FULTON, MO 65251-5436
(573) 581-1196
(573) 581-1981
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2013003487
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
75810
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G-115825
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G115825
IA
Other
Enumeration date
11/01/2006
Last updated
09/16/2020
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