Individual
JANE LOUISE MATZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
317 VANNESS AVE, OTTUMWA, IA 52501-1434
(641) 682-8145
(641) 682-8857
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1474
(319) 356-3715
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
C053429
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0425165
—
IA
01
—
20689
WELLMARK BCBS
IA
Enumeration date
09/22/2005
Last updated
12/12/2007
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