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Individual

ROBERT MATTHEW BALTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, ARNP, PMHNP-BC

Contact information

Practice address
1200 1ST AVE E STE 1, SPENCER, IA 51301-4330
(515) 364-6198
Mailing address
1200 1ST AVE E STE 1, SPENCER, IA 51301-4330
(712) 264-6198

Taxonomy

Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
123267
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G159590
IA

Other

Enumeration date
05/29/2020
Last updated
07/02/2020
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