Individual
MICHELLE R DOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
700 E 2ND ST, IDA GROVE, IA 51445-1601
(712) 364-2514
(712) 364-4430
Mailing address
700 E 2ND ST, IDA GROVE, IA 51445-1601
(712) 364-2514
(712) 364-4430
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A100706
IA
Other
Enumeration date
05/16/2016
Last updated
06/17/2016
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