Individual
NICOLLE L MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1817 1ST AVE E, NEWTON, IA 50208-4052
(641) 458-3055
(641) 357-2857
Mailing address
1817 1ST AVE E, NEWTON, IA 50208-4052
(641) 458-3055
(641) 357-2857
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A099623
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G166072
IA
Other
Enumeration date
09/28/2006
Last updated
08/22/2025
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