Individual
LISA SYTSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 N WALNUT ST, COLFAX, IA 50054-1039
(515) 674-9020
(515) 674-9155
Mailing address
107 N WALNUT ST, COLFAX, IA 50054-1039
(515) 674-9020
(515) 674-9155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A133377
IA
364SF0001X
Family Health Clinical Nurse Specialist
Primary
A133377
IA
Other
Enumeration date
04/17/2016
Last updated
12/18/2017
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