Individual
ANGIE ZDRAZIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 KNOLLCREST DR, FORT DODGE, IA 50501-2921
(515) 571-1555
Mailing address
530 S 25TH STREET, FORT DODGE, IA 50501
(515) 574-5985
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
104777
IA
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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