Individual
KATHLEEN MEDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
419 E DONALD ST, WATERLOO, IA 50703
(319) 236-1911
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 236-1911
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
L103231
IA
363LA2100X
Acute Care Nurse Practitioner
L-103231
IA
Other
Enumeration date
02/27/2014
Last updated
05/14/2018
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