Individual
MRS. MARIE ANTOINETTE WHANNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
412 E CHURCH ST, MARSHALLTOWN, IA 50158-2947
(641) 753-4021
(641) 753-4025
Mailing address
508 6TH ST, TRAER, IA 50675-1304
(319) 478-8947
(319) 478-2025
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
C044554
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1222513
—
IA
Enumeration date
10/27/2006
Last updated
07/09/2007
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