Individual
DAWN RENEE WANFALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, NNP
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2296
(319) 356-4855
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2296
(319) 356-4855
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
085842
IA
363LN0000X
Neonatal Nurse Practitioner
Primary
K085842
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70099
WELLMARK BCBS
IA
Enumeration date
06/21/2007
Last updated
08/26/2013
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