Individual
SUSAN KAY DADISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2237 FAIRHAVEN RD, DAVENPORT, IA 52803-2334
(563) 249-7662
Mailing address
2237 FAIRHAVEN RD, DAVENPORT, IA 52803-2334
(563) 249-7662
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A160508
IA
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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