Individual
ROBERTA A MITTELSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
909 W 1ST ST, SUMNER, IA 50674-1203
(563) 578-5375
(563) 578-5437
Mailing address
909 W 1ST ST, P.O. BOX 148, SUMNER, IA 50674-1203
(563) 578-5375
(563) 578-5437
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A045501
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0265751
—
IA
01
—
48947
WELLMARK BCBS
IA
01
—
I17909
MEDICARE PART B
—
Enumeration date
09/08/2005
Last updated
04/18/2009
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