Individual
MRS. PATRICIA LOU TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
MATERNAL AND WOMEN'S HEALTH, 1001 E PENNSYLVANIA AVE, OTTUMA, IA 52501-2195
(641) 684-2395
(615) 684-2534
Mailing address
1001 PENNSYLVANIA AVE, 1ST FLOOR / OTTUMA REGIONAL HEALTH CENTER, OTTUMWA, IA 52501-6427
(641) 684-2395
(615) 684-2534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F053221
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0225607
—
IA
01
—
45584
WELLMARK
IA
Enumeration date
06/08/2005
Last updated
06/25/2012
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