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Individual

MRS. STEPHANIE L ERDMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
8860 NORTHPARK DR STE 200, URBANDALE, IA 50131-3168
(515) 724-0377
(515) 724-7018
Mailing address
8860 NORTHPARK DR STE 200, JOHNSTON, IA 50131-3168
(515) 724-0377
(515) 724-7018

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
H-114083
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1457304446
BCBS
IA
05
1952552655
IA
01
3134321
AMERIGROUP
IA
01
64070066
AMERIHEALTH CARITAS
IA
Enumeration date
10/01/2008
Last updated
11/22/2024
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