Individual
KEESHA CAUSEMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7211
Mailing address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7211
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
109086
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0600452
—
IA
Enumeration date
03/23/2010
Last updated
03/23/2010
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