Organization
SPENCER MUNICIPAL HOSPITAL
Active
Other names
Nurse Practitioner Group
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA TIEFENTHALER (CHIEF EXECUTIVE OFFICER)
(712) 264-6111
Entity
Organization
Contact information
Practice address
113 2ND ST, SIOUX RAPIDS, IA 50585-2057
(712) 283-2723
(712) 283-2751
Mailing address
1200 1ST AVE E, SPENCER, IA 51301-4330
(712) 264-6111
(712) 264-6464
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
210037H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1601120
—
IA
Enumeration date
07/30/2007
Last updated
10/10/2023
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