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Individual

NOREEN ESTHER HUMPHREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1212 7TH ST SE, CEDAR RAPIDS, IA 52401-2602
(319) 558-4260
Mailing address
1212 7TH ST SE, CEDAR RAPIDS, IA 52401-2602
(319) 558-4260

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
C-049689
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
52401
IA
Enumeration date
11/07/2008
Last updated
11/07/2008
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