Individual
MR. NICHOLAS P. CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
3801 MARGUETTE STREET, SUITE 200, DAVENPORT, IA 52806
(563) 326-5855
(563) 326-4254
Mailing address
3801 MARGUETTE STREET, SUITE 200, DAVENPORT, IA 52806
(563) 326-5855
(563) 326-4254
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
091795
IA
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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