Individual
AMY ELIZABETH NOTHDURFT STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, IADC
Contact information
Practice address
8527 UNIVERSITY BLVD STE 9, CLIVE, IA 50325-1069
(515) 402-5422
Mailing address
8527 UNIVERSITY BLVD STE 9, CLIVE, IA 50325-1069
(515) 321-6918
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11142
IA
Other
Enumeration date
01/24/2012
Last updated
01/25/2012
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