Individual
VICKI SUE PALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
228 E 2ND ST, OTTUMWA, IA 52501
(641) 682-9955
(641) 682-9946
Mailing address
228 E 2ND ST, OTTUMWA, IA 52501
(641) 682-9955
(641) 682-9946
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F078437
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095232
—
IA
01
—
21345
WELLMARK
IA
01
—
235221
MIDLANDS CHOICE
IA
Enumeration date
02/03/2006
Last updated
06/30/2011
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