Individual
VICTORIA A LIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 11TH STREET NE, CEDAR RAPIDS, IA 52402
(319) 369-7211
Mailing address
150 11TH STREET NE, CEDAR RAPIDS, IA 52402
(319) 369-7211
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
146305
IA
Other
Enumeration date
06/20/2023
Last updated
07/29/2025
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