Individual
SUSAN K BERENDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3130
(319) 353-8707
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3130
(319) 353-8707
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
064034 RN
IA
363L00000X
Nurse Practitioner
Primary
C064034 ARNP
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0438291
—
IA
01
—
36336
WELLMARK BCBS
IA
Enumeration date
09/19/2005
Last updated
11/28/2007
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