Individual
CHARLENE NIGHTINGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2213 2ND ST, CORALVILLE, IA 52241-1205
(319) 688-3333
Mailing address
17339 NEWPORT RD, ANAMOSA, IA 52205-7676
(319) 688-3333
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P29572
IA
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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