Individual
HANNAH ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2422 12TH STREET CT, DE WITT, IA 52742-1225
(563) 659-6090
Mailing address
3405 223RD AVE, MAQUOKETA, IA 52060-9345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A190194
IA
363LF0000X
Family Nurse Practitioner
Primary
A190194
IA
Other
Enumeration date
03/23/2026
Last updated
04/02/2026
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