Individual
KRISTINA GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 33RD AVE SW STE S, CEDAR RAPIDS, IA 52404-4646
(319) 560-5523
(319) 403-0121
Mailing address
260 33RD AVE SW STE X, CEDAR RAPIDS, IA 52404-4646
(319) 560-5523
(319) 403-0121
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
118238
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G160805
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710503982
—
IA
Enumeration date
09/08/2020
Last updated
05/28/2025
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