Individual
NICOLE A RUSSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3741 PHEASANT LN, WATERLOO, IA 50701-5215
(319) 233-3611
(319) 233-0669
Mailing address
3741 PHEASANT LN, WATERLOO, IA 50701-5215
(319) 233-3611
(319) 233-0669
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
119055
IA
363LG0600X
Gerontology Nurse Practitioner
Primary
H119055
IA
Other
Enumeration date
12/28/2017
Last updated
02/02/2018
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