Individual
TRICIA LYNN WIDLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
119 AVENUE O W, FORT DODGE, IA 50501-5634
(515) 955-9200
(515) 955-9201
Mailing address
PO BOX 430, WEBSTER CITY, IA 50595-0430
(515) 955-9200
(515) 955-9201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A093647
IA
Other
Enumeration date
11/18/2010
Last updated
03/22/2021
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