Individual
PATRICIA L KIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
905 13TH ST SE, BONDURANT, IA 50035-4434
(641) 486-8301
Mailing address
511 LAUREL STREET, DES MOINES, IA 50314
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209.009023
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
D057697
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0272856
—
IA
01
—
32968
WELLMARK BCBS OF IA
IA
01
—
430078051
PGBA RR MEDICARE
—
01
—
A013
TRIWEST
—
01
—
IA0112
JOHN DEERE HEALTH
IA
Enumeration date
11/18/2005
Last updated
09/04/2012
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