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MEGAN NICOLE DEPOORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2633
(319) 356-2940
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2633
(319) 356-2940

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D112878
IA
390200000X
Student in an Organized Health Care Education/Training Program
112878
IA

Other

Enumeration date
07/17/2008
Last updated
05/24/2010
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