Individual
DR. MARCELLA LOUISE SORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 EDMUNDSON PL STE 306, COUNCIL BLUFFS, IA 51503-4620
(712) 396-4295
(712) 396-4298
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-5210
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
112640
NE
363L00000X
Nurse Practitioner
Primary
A155912
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026209700
—
NE
05
—
1780169219
—
IA
Enumeration date
10/01/2018
Last updated
10/16/2019
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