Individual
KIRSTAN MARIE WANNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1208 E CROSS ST, CENTERVILLE, IA 52544-3501
(887) 279-5960
Mailing address
1208 E CROSS ST, CENTERVILLE, IA 52544-3501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A158389
IA
Other
Enumeration date
03/25/2020
Last updated
05/22/2026
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