Individual
MARY ANN AMEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
146 W DALE ST STE 201, WATERLOO, IA 50703-1901
(319) 226-9888
(319) 226-9889
Mailing address
146 W DALE ST STE 201, WATERLOO, IA 50703-1901
(319) 226-9888
(319) 226-9889
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
074072
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659312254
—
IA
Enumeration date
06/08/2006
Last updated
08/18/2020
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