Individual
AMANDA PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
802 KENYON RD, FORT DODGE, IA 50501-5740
(515) 574-6950
Mailing address
802 KENYON RD, FORT DODGE, IA 50501-5740
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
106630
IA
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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