Individual
MELINDA PHYLLIS DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
304 FRANKLIN ST, KEOSAUQUA, IA 52565-1164
(319) 293-3171
Mailing address
304 FRANKLIN ST, KEOSAUQUA, IA 52565-1164
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A109267
IA
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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