Individual
NICHOLE LEIGH O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1215 DUFF AVE, AMES, IA 50010-5469
(152) 394-4965
(515) 239-4767
Mailing address
1215 DUFF AVE, AMES, IA 50010-5469
(152) 394-4965
(515) 239-4767
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A115368
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A115368
IOWA BOARD OF NURSING
IA
Enumeration date
07/31/2018
Last updated
07/31/2018
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