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Contact Information

CHILD HEALTH SPECIALTY CLINICS
100 HAWKINS DR.
247-A CDD
IOWA CITY, IA52242
 Phone: 319-384-6674
 Fax: 319-356-3715
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatrics

364SP0200X 89 Certified Clinical Nurse Specialist
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CHILD HEALTH SPECIALTY CLINICS · (Female)

NPI # 1760590046
Status Active
Credentials
Entity Individual
Enumeration date 08/28/2006
Last updated 06/18/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IA Medicaid 0480202
  • IA Medicaid 0734871
  • IA Medicaid 0736264
  • IA Medicaid 0797431
  • IA Other 1053503755 NPI
  • IA Other 1225177579 NPI
  • IA Other 1609915628 NPI
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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