Individual
MS. JOELLEN CIZEK KUBIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP; PMHNP-BC
Contact information
Practice address
146 W DALE ST, SUITE 101, WATERLOO, IA 50703-1901
(319) 233-3351
(319) 235-3132
Mailing address
146 W DALE ST, SUITE 101, WATERLOO, IA 50703-1901
(319) 233-3351
(319) 235-3132
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
067317
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
533820005
MEDICARE PTAN
IA
Enumeration date
08/22/2010
Last updated
11/18/2011
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