Organization
PRIORITY HEALTH NORTHWEST PLLC
Active
Other names
Priority Health Northwest PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
PEYTON R HANTELMAN ARNP (CO-OWNER)
(712) 209-6642
Entity
Organization
Contact information
Practice address
1800 NORRIS PLACE, SPENCER, IA 51301-3411
(712) 580-4570
(712) 580-4573
Mailing address
1801 NORRIS PL, SPENCER, IA 51301-3411
(712) 580-4570
(712) 580-4573
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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