Individual
JONI R HANSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2000C S MAIN ST, FAIRFIELD, IA 52556-9572
(641) 472-4141
(641) 469-3516
Mailing address
2000C S MAIN ST, FAIRFIELD, IA 52556-9572
(641) 472-4141
(641) 469-3516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A110830
IA
Other
Enumeration date
01/23/2013
Last updated
01/30/2013
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