Individual
MS. FAITH ROCHELLE THEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1906 6TH AVE N, FORT DODGE, IA 50501-3557
(515) 227-1857
Mailing address
1906 6TH AVE N, FORT DODGE, IA 50501-3557
(515) 227-1857
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AG01210113
IA
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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