Individual
DEBRA J DIVELBISS KUCERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
411 10TH ST SE, CEDAR RAPIDS, IA 52403-2442
(319) 363-3600
(319) 363-9971
Mailing address
411 10TH ST SE, CEDAR RAPIDS, IA 52403-2442
(319) 363-3600
(319) 363-9971
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
057105
IA
363LP0200X
Pediatric Nurse Practitioner
C057105
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04608
WELLMARK BCBS
IA
Enumeration date
05/04/2007
Last updated
02/17/2017
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