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Individual

MRS. SHELLI LYNN VAN ROEKEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1111 11TH ST, HAWARDEN, IA 51023-1903
(712) 551-3100
Mailing address
4938 GOLDFINCH AVE, MAURICE, IA 51036-7554
(712) 899-8176

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
130982
IA
363L00000X
Nurse Practitioner
Primary
A179839
IA
363LP2300X
Primary Care Nurse Practitioner
A179839
IA

Other

Enumeration date
06/13/2024
Last updated
03/10/2026
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