Individual
THERESA HALLENGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-FNP-BC
Contact information
Practice address
5264 COUNCIL ST NE STE 100, CEDAR RAPIDS, IA 52402-2499
(319) 221-8444
Mailing address
6825 DEVONSHIRE DR NE, CEDAR RAPIDS, IA 52402-1403
(563) 889-0600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
133979
IA
363LP2300X
Primary Care Nurse Practitioner
Primary
A165492
IA
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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