Heartland Integrative Psychiatric Services Co

NPI 1467840470 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1467840470
Enumeration Date 12/26/2014
Last Updated 12/26/2014
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JOELLEN C JOELLEN
Position PRESIDENT
Phone (319) 404-0461
Fax
Practice Location
2587 130TH ST
TRAER IA, 50675-9550, US
Phone (319) 404-0461
Fax
Business Location
2587 130TH ST
TRAER IA, 50675-9550, US
Phone (319) 404-0461
Fax
Toxanomy
Taxonomy Code 363LP0808X
License State Iowa
License Number G067317
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According to our database, Heartland Integrative Psychiatric Services Co NPI is 1467840470, taxonomy code is 363LP0808X and license number is G067317, license state is located at Iowa. Heartland Integrative Psychiatric Services Co physically located at 2587 130th St, Traer IA, 50675-9550. NPI Number 1033115704 has the healthcare provider type.

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1467840470 NPI number is provided on an as is basis without warranty of any kind. 1467840470 is maintained by the National Plan & Provider Enumeration System. The contents of Heartland Integrative Psychiatric Services Co are for informational purposes only.