Individual
JANE K DEETS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
710 N 12TH ST, GUTHRIE CENTER, IA 50115-1544
(641) 332-2201
Mailing address
1117 CROSSINGS CT NE, CEDAR RAPIDS, IA 52402-7232
(319) 378-3770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A045230
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0298547
—
IA
01
—
35365
WELLMARK
IA
01
—
IA0105
JOHN DEERE
IA
Enumeration date
02/02/2006
Last updated
07/08/2007
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