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Individual

MRS. HALEY DIANNE STOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.P.N.P.

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1616
Mailing address
1129 MORMON TREK BLVD, IOWA CITY, IA 52246-4409
(712) 281-9230

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
2013002947
MO
363LP0200X
Pediatric Nurse Practitioner
5375924081
KS
363LP0200X
Pediatric Nurse Practitioner
Primary
C121514
IA

Other

Enumeration date
02/11/2013
Last updated
04/13/2023
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