Individual
MICHELLE E MISEK SAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1 EDMUNDSON PL, STE. 310, COUNCIL BLUFFS, IA 51503-4658
(712) 396-4310
(712) 396-7069
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
C134834
IA
363LP0200X
Pediatric Nurse Practitioner
C134834
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477989499
—
IA
05
—
47068731712
—
NE
Enumeration date
09/23/2013
Last updated
06/19/2014
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