Billie L Tack
Nurse Practitioner - Women's Health
915 13th Ave N
Clinton
, Iowa 52732-5067
Billie L Tack
Nurse Practitioner - Women's Health
915 13th Ave N
Clinton
, Iowa 52732-5067
(563) 243-0817
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Billie L Tack
- 915 13th Ave N
- Clinton, IA
- Zip : 52732-5067
- Fax : (563) 243-0817
- Phone : (563) 246-2511
Second Address
- Billie L Tack
- 915 13th Ave N
- Clinton, IA
- Zip : 52732-5067
- Fax : (563) 243-0817
- Phone : (563) 246-2511
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | F-067399 | IA |
National Provider Identifier
| NPI | 1003866674 |
|---|---|
| Provider Name | Billie L Tack |
| First Address | Clinton, IA 52732-5067 |
| Second Address | Clinton, IA 52732-5067 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/05/2006 |
| Last Update Date | 02/09/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0498519 | (05) | IA |
| 084118 | HEALTH ALLIANCE (01) | |
| 222235 | IOWA HEALTH SOLUTIONS (01) | |
| 240863 | MIDLANDS CHOICE (01) | |
| 35233 | WELLMARK BC/BS (01) | IA |
| IA01A8 | JOHN DEERE HEALTH (01) | |
| P60770 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.