Individual
LISA A. PAPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
933 E PIERCE ST, COUNCIL BLUFFS, IA 51503-4626
(712) 396-6111
(712) 396-7026
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-4230
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A135623
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A135623
ARNP MEDICAL LICENSE
IA
Enumeration date
09/25/2017
Last updated
09/25/2017
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