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Contact Information

MIRSADA DEDIC, ARNP
1601 NW 114TH ST STE 342
CLIVE, IA50325-7036
 Phone: 515-222-7600
 Fax: 515-222-7601
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MIRSADA DEDIC · (Female)

NPI Number 1255147922
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 12/09/2024
Last updated 02/24/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IA License # H182375
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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