Individual
JUANITA LOUISE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
1030 N 7TH ST, CHARITON, IA 50049-1206
(641) 217-9115
(641) 217-9137
Mailing address
1030 N 7TH ST, PO BOX 674, CHARITON, IA 50049-1206
(641) 217-9115
(641) 217-9137
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A089687
IA
363LF0000X
Family Nurse Practitioner
Primary
A089687
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03644
WELLMARK
IA
05
—
1477648376
—
IA
05
—
1737593
—
IA
01
—
251859
MIDLANDS CHOICE
IA
Enumeration date
10/04/2006
Last updated
03/04/2013
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