Individual
MRS. ABBY IRENE KOLTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3251 W 9TH ST, WATERLOO, IA 50702-5310
(319) 234-2893
(319) 234-0354
Mailing address
3251 W 9TH ST, WATERLOO, IA 50702-5310
(319) 234-2893
(319) 234-0354
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
P49107
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G171685
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074435
—
IA
Enumeration date
08/05/2013
Last updated
11/02/2022
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