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Individual

RONG NONE SUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1001 PENNSYLVANIA AVE, OTTUMWA REGIONAL HEALTH CENTER, EMERGENCY ROOM, OTTUMWA, IA 52501-6427
(641) 684-2323
(641) 683-2888
Mailing address
1001 PENNSYLVANIA AVE, OTTUMWA REGIONAL HEALTH CENTER, EMERGENCY ROOM, OTTUMWA, IA 52501-6427
(641) 684-2323
(641) 683-2888

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
041436577
IL
363LF0000X
Family Nurse Practitioner
2012042885
MO
363LF0000X
Family Nurse Practitioner
Primary
A133590
IA

Other

Enumeration date
05/29/2013
Last updated
11/19/2015
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