Individual
ELLA KATHLEEN DEFEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(888) 573-5437
Mailing address
27 DIVISION ST SW, SWISHER, IA 52338-4701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
111474430
WI
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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