Individual
BETTY A NEZERKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
422 ROGERS GROVE RD, ELY, IA 52227-9722
(319) 848-4619
(319) 848-4604
Mailing address
422 ROGERS GROVE RD, ELY, IA 52227-9722
(319) 848-4619
(319) 848-4604
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
X00786681
—
IA
Enumeration date
09/01/2007
Last updated
09/01/2007
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