Individual
WANDA D FREESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
700 E 2ND ST, IDA GROVE, IA 51445-1601
(712) 364-2514
(712) 364-4430
Mailing address
700 E 2ND ST, IDA GROVE, IA 51445-1601
(712) 364-2514
(712) 364-4430
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A-050945
IA
Other
Enumeration date
05/26/2006
Last updated
09/13/2013
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