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Individual

MANDY RAE IVERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1208 E CROSS ST, CENTERVILLE, IA 52544-3501
(877) 279-5960
Mailing address
1208 E CROSS ST, CENTERVILLE, IA 52544-3501
(877) 279-5960

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
116386
NE
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A187177
IA
363LF0000X
Family Nurse Practitioner
Primary
116386
IA
363LF0000X
Family Nurse Practitioner
116386
NE

Other

Enumeration date
09/24/2025
Last updated
01/21/2026
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