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ANNA C. PRUESS A.R.N.P.
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1154604536
Individual Registrant: ANNA C. PRUESS A.R.N.P.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
411 1ST AVE CLARENCE, IA 52216-9744 US
Tel: 563-452-3211 Fax: 563-452-3215
Tel: 563-452-3211 Fax: 563-452-3215
Contact information for business:
411 1ST AVE CLARENCE, IA 52216-9744 US
Tel: 563-452-3211 Fax: 563-452-3215
Tel: 563-452-3211 Fax: 563-452-3215
Registration Information:
NPI: 1154604536
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | IA | A-118253 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 1154604536 | IA | 05 |
