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Individual

RHONDA S COFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
1201 PENN AVE, DES MOINES, IA 50316-2339
(515) 266-1000
Mailing address
1201 PENN AVE, DES MOINES, IA 50316-2339
(515) 266-1000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
111518
NE
363L00000X
Nurse Practitioner
Primary
L073635
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710327812
IA
01
P01429753
RR MEDICARE
IA
Enumeration date
07/03/2013
Last updated
04/20/2015
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