DEBRA LODGE
Nurse Practitioner - Family
Active
Individual
NPI: 1619392438
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | A080874 (IA) |
Frequently Asked Questions
NPI 1619392438 is the National Provider Identifier for DEBRA LODGE, a Nurse Practitioner - Family provider located in Waverly, IA. This NPI was enumerated on March 3, 2014.
DEBRA LODGE practices at 312 9TH ST SW, Waverly, IA 50677.
Quick Facts
- NPI
- 1619392438
- Type
- Individual
- Enumerated
- Mar 3, 2014
- Last Updated
- Oct 9, 2015
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