Individual
RAE MARIE MCDIVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
515 PACIFIC AVE, AUDUBON, IA 50025-1056
(712) 563-2611
Mailing address
515 PACIFIC AVE, AUDUBON, IA 50025-1056
(712) 563-2611
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A125071
IA
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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