Individual
MARCY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 11TH ST NW, CEDAR RAPIDS, IA 52405-3811
(319) 398-3562
Mailing address
520 11TH ST NW, CEDAR RAPIDS, IA 52405-3811
(319) 398-3562
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
097067
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074575
—
IA
Enumeration date
06/24/2016
Last updated
06/24/2016
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