Individual
GREGORY WAYNE TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
931 PENNSYLVANIA AVE, OTTUMWA, IA 52501-2138
(641) 684-3000
(641) 684-2469
Mailing address
931 PENNSYLVANIA AVE, OTTUMWA, IA 52501-2138
(641) 684-3000
(641) 684-2469
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
090162
IA
363LP0200X
Pediatric Nurse Practitioner
Primary
C090162
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026810
IOWA HEALTH SOLUTIONS
IA
05
—
041S954
—
IA
01
—
42068106092
JOHN DEERE HEALTH
—
Enumeration date
09/08/2005
Last updated
10/16/2007
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