Individual
MARY A GURENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
855 A AVE NE, SUITE 300, CEDAR RAPIDS, IA 52402-5057
(319) 368-9300
(319) 368-5690
Mailing address
855 A AVE NE, SUITE 300, CEDAR RAPIDS, IA 52402-5057
(515) 471-9372
(515) 471-9319
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
040941
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0417345
—
IA
Enumeration date
12/30/2005
Last updated
10/25/2011
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