Individual
STACEY M. LOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1007
(319) 353-8435
(319) 467-5141
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1007
(319) 353-8435
(319) 467-5141
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000798
SD
363L00000X
Nurse Practitioner
RN1014353
DC
363LA2100X
Acute Care Nurse Practitioner
L102317
IA
Other
Enumeration date
12/02/2008
Last updated
05/29/2019
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