Individual
MRS. NICOLE MARIE BACCAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1201 3RD AVE SE, LINN COMMUNITY CARE, CEDAR RAPIDS, IA 52403-4009
(319) 730-7321
(319) 730-7366
Mailing address
1201 3RD AVE SE, LINN COMMUNITY CARE, CEDAR RAPIDS, IA 52403-4009
(319) 730-7321
(319) 730-7366
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F110857
IA
Other
Enumeration date
12/11/2012
Last updated
02/22/2013
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