Individual
IVY ORELLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 EDMUNDSON PL, COUNCIL BLUFFS, IA 51503-4658
(712) 396-4300
Mailing address
1 EDMUNDSON PL, COUNCIL BLUFFS, IA 51503-4658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
84235
NE
363LF0000X
Family Nurse Practitioner
Primary
A165750
IA
Other
Enumeration date
09/06/2021
Last updated
09/24/2021
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