Individual
STACEY STRUBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 5TH AVE SE STE 3000, CEDAR RAPIDS, IA 52403-2416
(319) 286-4545
(319) 368-3358
Mailing address
1030 5TH AVE SE STE 3000, CEDAR RAPIDS, IA 52403-2416
(319) 286-4545
(319) 368-3358
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
106007
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G106007
IA
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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