Individual
MISHELLE L PAULLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1616
(319) 356-4505
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1616
(319) 356-4505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A107725
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71788
WELLMARK BCBS
IA
Enumeration date
10/29/2007
Last updated
03/04/2008
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