Individual
MRS. DEBORAH J VAN DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-BC
Contact information
Practice address
1717 W RIDGEWAY AVE, WATERLOO, IA 50701-4543
(319) 833-5830
(319) 833-5831
Mailing address
1717 W RIDGEWAY AVE, WATERLOO, IA 50701-4543
(319) 833-5830
(319) 833-5831
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A103984
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1421941
—
IA
01
—
29174
WELLMARK HEALTH CARE
IA
01
—
421417307M7
JOHN DEERE HEALTH
IA
Enumeration date
06/27/2006
Last updated
03/28/2016
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