Individual
TERESA DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3537
(319) 356-4693
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3537
(319) 356-4693
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
092530
IA
363L00000X
Nurse Practitioner
Primary
C092530
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71367
WELLMARK BCBS
IA
Enumeration date
04/10/2006
Last updated
01/30/2008
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