Individual
SAMANTHA FEDDERSEN
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) 353-7858
(319) 353-8073
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-7858
(319) 353-8073
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
123135
IA
363LA2100X
Acute Care Nurse Practitioner
Primary
H179214
IA
363LA2200X
Adult Health Nurse Practitioner
H179214
IA
Other
Enumeration date
05/15/2024
Last updated
04/04/2025
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