Organization
EDGERTON WOMENS HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIKA O'MELIA (CEO)
(563) 823-9222
Entity
Organization
Contact information
Practice address
1510 E RUSHOLME ST, DAVENPORT, IA 52803-2463
(563) 359-6633
(563) 359-5261
Mailing address
1510 E RUSHOLME ST, DAVENPORT, IA 52803-2463
(563) 823-9222
(563) 359-5261
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0096560
FPW
IA
Enumeration date
01/17/2007
Last updated
01/27/2015
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