Individual
JUDITH A. BOOK-DAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2709 W BRIGGS AVE, STE. 1, FAIRFIELD, IA 52556-2649
(641) 209-9944
(641) 209-9946
Mailing address
2709 W BRIGGS AVE, STE. 1, FAIRFIELD, IA 52556-2649
(641) 209-9944
(641) 209-9946
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A061959
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0221176
—
IA
01
—
70948
BLUE CROSS BLUE SHIELD
IA
Enumeration date
12/28/2005
Last updated
12/12/2021
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