Individual
BRIAN P WAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-7175
(319) 384-7185
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-7175
(319) 384-7185
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
J077858
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0423178
—
IA
01
—
43899
WELLMARK BCBS
IA
Enumeration date
10/04/2005
Last updated
01/29/2008
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