Individual
ALAA AL-TALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
312 9TH ST SW, WAVERLY, IA 50677-2999
(319) 352-4120
Mailing address
3369 MONTICELLO AVE, WATERLOO, IA 50701-4654
(217) 550-1036
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A178764
IA
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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