Individual
MIRSADA DEDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1601 NW 114TH ST STE 342, CLIVE, IA 50325-7036
(515) 222-7600
(515) 222-7601
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 222-7600
(515) 222-7601
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
H182375
IA
363LG0600X
Gerontology Nurse Practitioner
Primary
H182375
IA
Other
Enumeration date
12/09/2024
Last updated
02/24/2025
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