Individual
BREANNE VOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 SOUTH GEAR AVENUE, SUITE 159, GREAT RIVER FAMILY PRACTICE CLINIC, WEST BURLINGTON, IA 52655
(319) 754-4242
Mailing address
1225 SOUTH GEAR AVENUE, SUITE 159, GREAT RIVER FAMILY PRACTICE CLINIC, WEST BURLINGTON, IA 52655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A119646
IA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/16/2016
Last updated
07/26/2016
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