Individual
TARYN A WISOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP APRN CPNP-PC/AC
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3568
(319) 384-6295
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3568
(319) 384-6295
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
C168802
IA
363LP0200X
Pediatric Nurse Practitioner
2020019714
MO
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
C168802
IA
Other
Enumeration date
07/16/2020
Last updated
08/26/2022
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