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Individual

KELLI DESERANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1015 S HACKETT RD, WATERLOO, IA 50701-3500
(319) 234-5990
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
(319) 233-1630

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A121659
IA

Other

Enumeration date
10/04/2016
Last updated
02/04/2022
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