Individual
AMY MARIE LATWESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 230-1096
Mailing address
2243 GABRIEL AVE, INDEPENDENCE, IA 50644-9117
(319) 230-1096
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
H174967
IA
Other
Enumeration date
07/11/2023
Last updated
08/21/2023
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