Individual
DEANNE K BOLHUIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
432 KING DR, WATERLOO, IA 50702-5956
(319) 234-5764
(319) 234-1336
Mailing address
432 KING DR, WATERLOO, IA 50702-5956
(319) 234-5764
(319) 234-1336
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F-078633
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417444
—
IA
01
—
IA0146
JOHN DEERE HEALTH CARE
—
Enumeration date
07/11/2005
Last updated
07/08/2007
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