Individual
EMILIE M BAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
601 HIGHWAY 6 W, IOWA CITY, IA 52246-2209
(319) 338-0581
Mailing address
1601 EAGLES CREST AVE UNIT F5, DAVENPORT, IA 52804-5065
(563) 650-6877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041446999
IL
163W00000X
Registered Nurse
Primary
158617
IA
163WM0705X
Medical-Surgical Registered Nurse
158617
IA
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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