Individual
SHANNON MARIE KUSSATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242
(319) 356-3758
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3758
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A097371
IA
Other
Enumeration date
09/28/2015
Last updated
05/18/2018
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