Individual
KIERAN ANN EINWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
804 KENYON RD, STE L, FORT DODGE, IA 50501-5742
(515) 955-8326
(515) 574-5508
Mailing address
804 KENYON RD, STE L, FORT DODGE, IA 50501-5742
(515) 955-8326
(515) 574-5508
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
047996
IA
363L00000X
Nurse Practitioner
C047996
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55723
WELLMARK BCBS
IA
Enumeration date
11/28/2006
Last updated
09/27/2007
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