Individual
ELIZABETH TJARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1922 5TH AVE NW, WAVERLY, IA 50677-1903
(319) 352-4540
Mailing address
810 E BREMER AVE, WAVERLY, IA 50677-2730
(319) 231-2356
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
H120203
IA
363LA2100X
Acute Care Nurse Practitioner
H120203
IA
363LA2200X
Adult Health Nurse Practitioner
H120203
IA
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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