Individual
NICOLE R GROETKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11333 AURORA AVE, URBANDALE, IA 50322-7908
(515) 557-3120
(515) 557-3125
Mailing address
11333 AURORA AVE, URBANDALE, IA 50322-7908
(515) 557-3120
(515) 557-3125
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
11
IA
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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