Individual
NANCY J AGNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1230 E RUSHOLME ST, STE 301, DAVENPORT, IA 52803-2400
(563) 322-9150
(563) 322-9148
Mailing address
865 LINCOLN RD, STE L10, BETTENDORF, IA 52722-4159
(563) 355-9191
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F047883
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419648
—
IA
01
—
065363
HEALTH ALLIANCE
—
01
—
156398
IOWA HEALTH SOLUTIONS
—
01
—
4796890013
DMERC
—
01
—
IA0101
JOHN DEERE HEALTH PLAN
—
Enumeration date
06/14/2005
Last updated
05/19/2021
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