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Organization

IOWA WELLNESS CLINIC PLLC

Active
Other names
Vitaluty Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
SHANNON MARIE BRASLAVSKY APRN (OWNER)
(501) 943-9070
Entity
Organization

Contact information

Practice address
3555 STONE CREEK CIR SW, CEDAR RAPIDS, IA 52404-1240
(319) 693-8800
(319) 208-2273
Mailing address
430 B AVE NE, WALFORD, IA 52351-8018
(501) 943-9070

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
363LA2200X
Adult Health Nurse Practitioner

Other

Enumeration date
03/27/2024
Last updated
01/07/2025
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