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Individual

MARY J GRIEDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
500 WILLOW AVE STE 305, COUNCIL BLUFFS, IA 51503-0807
(712) 256-4420
Mailing address
500 WILLOW AVE STE 305, COUNCIL BLUFFS, IA 51503-0807
(712) 256-4420
(712) 256-4423

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
112377
NE
363LF0000X
Family Nurse Practitioner
Primary
A083627
IA

Other

Enumeration date
09/02/2014
Last updated
09/19/2021
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