Individual
THERESA WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
200 HAWKINS DRIVE, IOWA CITY, IA 52242
(319) 356-1616
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-8435
(319) 356-7850
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
H166412
IA
363LA2100X
Acute Care Nurse Practitioner
H166412
IA
363LC0200X
Critical Care Medicine Nurse Practitioner
H166412
IA
363LG0600X
Gerontology Nurse Practitioner
H166412
IA
Other
Enumeration date
01/09/2022
Last updated
03/24/2022
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