Individual
SHANNA MAUREEN KROGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 13TH AVE N, CLINTON, IA 52732-5067
(563) 243-2511
Mailing address
915 13TH AVE N, CLINTON, IA 52732-5067
(563) 243-2511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A155976
IA
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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