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Individual

DR. KERI SHADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4455 E 56TH ST, DAVENPORT, IA 52807-2995
(563) 355-2577
Mailing address
4455 E 56TH ST, DAVENPORT, IA 52807-2995
(563) 355-2577

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
137993
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G171404
IA

Other

Enumeration date
05/14/2015
Last updated
12/05/2022
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