Individual
CHRISTINE KAY VITZTHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 15TH ST N, HUMBOLDT, IA 50548-1008
(515) 332-2015
(515) 332-4211
Mailing address
24 N 9TH ST, FORT DODGE, IA 50501-3905
(515) 574-6890
(515) 574-6458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
119875
IA
Other
Enumeration date
08/30/2011
Last updated
06/26/2013
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