Individual
CORINNE LYN FEVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
802 KENYON RD, FORT DODGE, IA 50501-5740
(515) 574-6332
Mailing address
802 KENYON RD, FORT DODGE, IA 50501-5740
(515) 574-6332
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9186501
FL
Other
Enumeration date
02/27/2008
Last updated
01/27/2017
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