Individual
MRS. TABETHA MARIE GEHRKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
2710 SAINT FRANCIS DR STE 320, WATERLOO, IA 50702-5620
(319) 272-5000
Mailing address
719 WISCONSIN ST, WATERLOO, IA 50702-1822
(319) 239-7393
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
L104204
IA
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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