Individual
ANDREA WULF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1412 CEDAR ST, TIPTON, IA 52772-1100
(563) 886-2182
Mailing address
1412 CEDAR ST, TIPTON, IA 52772-1100
(563) 886-2182
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
115154
IA
363LF0000X
Family Nurse Practitioner
Primary
A115154
IA
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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