Individual
NICOLE LYNNE FELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2733 86TH ST, URBANDALE, IA 50322-4336
(515) 987-5188
(515) 987-8152
Mailing address
500 E COURT AVE, DES MOINES, IA 50309-2057
(515) 237-3974
(515) 237-3979
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
H118320
IA
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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