Individual
STEPHANIE HENRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-C
Contact information
Practice address
2230 WILEY BLVD SW, CEDAR RAPIDS, IA 52404-2364
(319) 369-4340
(319) 369-4341
Mailing address
601 HIGHWAY 6 W, IOWA CITY, IA 52246-2209
(319) 338-0581
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
100936
IA
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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