Individual
BRENDA S OBERHELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
800 KENYON RD, FORT DODGE, IA 50501-5776
(515) 574-6800
(515) 574-6816
Mailing address
24 N 9TH ST, FORT DODGE, IA 50501-3905
(515) 574-6890
(515) 574-6112
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A068306
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0456053
—
IA
01
—
10210
BC/BS
IA
01
—
500012313
RR MEDICARE
IA
Enumeration date
02/03/2006
Last updated
12/22/2016
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