Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 2011029043 | MO |
Y | 207SG0201X | Clinical Genetics (M.D.) | MD-47551 | IA |
N | 208000000X | Pediatrician | MD-47551 | IA |
NPI | 1144308156 |
---|---|
Provider Name | Nicole Pauline Safina |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 20/10/2020 |