Individual
SHELBY MARIE LIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2728 2ND AVE S, FORT DODGE, IA 50501-6710
(515) 574-6170
Mailing address
213 E WILCOX WAY, JEFFERSON, IA 50129-2734
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A186266
IA
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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