Organization
HEARTLAND INTEGRATIVE PSYCHIATRIC SERVICES CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOELLEN C KUBIK ARNP (PRESIDENT)
(319) 404-0461
Entity
Organization
Contact information
Practice address
2587 130TH ST, TRAER, IA 50675-9550
(319) 404-0461
Mailing address
2587 130TH ST, TRAER, IA 50675-9550
(319) 404-0461
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G067317
IA
Other
Enumeration date
12/26/2014
Last updated
12/26/2014
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