Individual
JOELLEN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ARNP
Contact information
Practice address
700 COLLEGE DR, DECORAH, IA 52101-1041
(563) 387-1045
Mailing address
2661 W RIDGE RD, WAUKON, IA 52172-8501
(563) 568-4277
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
071035
IA
363LA2100X
Acute Care Nurse Practitioner
J-071035
IA
363LG0600X
Gerontology Nurse Practitioner
Primary
J071035
IA
Other
Enumeration date
06/13/2007
Last updated
03/29/2013
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