Individual
BRENDA LEE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, ACNS-BC
Contact information
Practice address
9197 NW POLK CITY DR, POLK CITY, IA 50226-2042
(515) 360-2218
Mailing address
9197 NW POLK CITY DR, POLK CITY, IA 50226
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
Q067510
IA
364S00000X
Clinical Nurse Specialist
S-067510
IA
Other
Enumeration date
11/16/2011
Last updated
04/28/2020
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