MEDICARE: NANCY FLINK PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	001138	IA

General Provider Information

NPI Number	:	1962487082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY FLINK PA-C

Provider Business Mailing Address
First Line	:	1351 W MAIN ST
Second Line	:
City	:	LAKE CITY
State	:	IA
Zip	:	51449-1585
Country	:	US
Telephone Number	:	712-464-3194
Fax Number	:	712-464-7412

Provider Business Practice Location Address
First Line	:	1351 W MAIN ST
Second Line	:
City	:	LAKE CITY
State	:	IA
Zip	:	51449-1585
Country	:	US
Telephone Number	:	712-464-3194
Fax Number	:	712-464-7412

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2005
Last Update Date	:	08/04/2010

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Directions to “ NANCY FLINK PA-C” Practice Location

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