Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | A155738 | IA |
NPI | 1003461807 |
---|---|
Provider Name | Victoria Lee Stromer |
First Address | Garner, IA 50438-8742 |
Second Address | Mason City, IA 50401-1612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2019 |
Last Update Date | 27/07/2020 |