Individual
MISS WENDALEE K. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1825 LOGAN AVE, EMERGENCY DEPARTMENT, WATERLOO, IA 50703-1916
(319) 235-3697
(319) 235-3844
Mailing address
1825 LOGAN AVE, EMERGENCY DEPARTMENT, WATERLOO, IA 50703-1916
(319) 235-3697
(319) 235-3844
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A107822
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528219680
—
IA
Enumeration date
10/08/2008
Last updated
10/31/2009
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