Individual
NICOLE STAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 467-2868
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 467-2868
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
088103
IA
363AM0700X
Medical Physician Assistant
088103
IA
363AS0400X
Surgical Physician Assistant
088103
IA
Other
Enumeration date
07/13/2017
Last updated
01/12/2023
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