Individual
KIRSTAN MARIE WANNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 A AVE NE STE 400, CEDAR RAPIDS, IA 52402-5064
(319) 363-3565
Mailing address
855 A AVE NE STE 400, CEDAR RAPIDS, IA 52402-5064
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A158389
IA
Other
Enumeration date
03/25/2020
Last updated
06/09/2020
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