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Individual

SUZANNE M HENNINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 467-8448
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 467-8448

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
H095129
IA
363LA2200X
Adult Health Nurse Practitioner
RN096240
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1Z6609
HEALTHNET
AZ
01
500028641
RAILROAD MEDICARE
AZ
05
740573
AZ
Enumeration date
06/30/2005
Last updated
02/14/2017
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