Individual
ERIN EIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
802 KENYON RD, FORT DODGE, IA 50501-5740
(515) 573-3101
Mailing address
109 BRITSON CIR, ROLAND, IA 50236-1013
(515) 297-0937
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A115491
IA
363LF0000X
Family Nurse Practitioner
Primary
A115491
IA
Other
Enumeration date
03/21/2017
Last updated
02/22/2024
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