Individual
ANNETTE KELLER QUALBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
202 10TH ST SE, CEDAR RAPIDS, IA 52403-2414
(319) 247-3049
Mailing address
202 10TH ST SE, CEDAR RAPIDS, IA 52403-2414
(319) 247-3049
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
131935
IA
363LF0000X
Family Nurse Practitioner
Primary
A131935
IA
Other
Enumeration date
02/05/2019
Last updated
04/11/2019
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