Healthcare Provider Details

I. General information

NPI: 1790773976
Provider Name (Legal Business Name): AMI FROHLING ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 08/19/2020
Certification Date: 08/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

532 1ST ST NW
BRITT IA
50423-1227
US

IV. Provider business mailing address

532 1ST ST NW
BRITT IA
50423-1227
US

V. Phone/Fax

Practice location:
  • Phone: 641-843-5050
  • Fax: 641-843-5051
Mailing address:
  • Phone: 641-843-5050
  • Fax: 641-843-5051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number92804
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: