Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | A068028 | IA |
NPI | 1003801945 |
---|---|
Provider Name | Cindy L Schol |
First Address | Iowa City, IA 52242-1009 |
Second Address | Sioux City, IA 51104-3755 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2005 |
Last Update Date | 18/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0446328 | (05) | IA |
30502 | WELLMARK BCBS (01) | IA |
Q15720 | (02) |