Individual
MATTHEW FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
146 W DALE ST STE 201, WATERLOO, IA 50703-1901
(319) 226-9888
Mailing address
146 W DALE ST STE 201, WATERLOO, IA 50703-1901
(319) 226-9888
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A179659
IA
Other
Enumeration date
04/04/2024
Last updated
07/31/2024
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