Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 37214 | IA |
N | 111NI0900X | Internist | 37214 | IA |
N | 207RN0300X | Nephrologist | 37214 | IA |
N | 208000000X | Pediatrician | 37214 | IA |
Y | 2080P0210X | Pediatric Nephrologist | 37214 | IA |
NPI | 1538387873 |
---|---|
Provider Name | Dr. Carla Marie Nester |
First Address | Iowa City, IA 52242-1083 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2007 |
Last Update Date | 02/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
70084 | WELLMARK BCBS (01) | IA |