Individual
CHASSIDY ALISA RUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
105 9TH AVE, BELLE PLAINE, IA 52208-2200
(319) 444-2840
Mailing address
105 9TH AVE, BELLE PLAINE, IA 52208-2200
(319) 444-2840
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A120394
IA
Other
Enumeration date
06/12/2015
Last updated
06/24/2015
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