Individual
NICOLE SPORRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ARNP
Contact information
Practice address
75 SHORT ST NW, CEDAR RAPIDS, IA 52405-4294
(319) 396-7115
(319) 396-7388
Mailing address
881 SHADETREE CT, LISBON, IA 52253-9691
(515) 720-3207
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
138753
IA
363LF0000X
Family Nurse Practitioner
Primary
F01210525
IA
Other
Enumeration date
04/28/2020
Last updated
09/07/2021
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