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Individual

HERMINA KWANGSA TANDIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
1932 SW 3RD ST STE 4, ANKENY, IA 50023-2400
(641) 980-5031
Mailing address
911 NE 45TH ST, ANKENY, IA 50021-6734
(641) 980-5031

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023127704
IA

Other

Enumeration date
11/06/2023
Last updated
11/06/2023
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