Individual
MRS. DIANE M. CARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ARNP
Contact information
Practice address
1214 S GRANT RD, CARROLL, IA 51401-3102
(712) 792-7500
(712) 792-7510
Mailing address
1111 DUFF AVE, AMES, IA 50010-5745
(515) 239-2155
(515) 239-2050
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000847
IA
Other
Enumeration date
10/04/2005
Last updated
01/25/2021
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