Healthcare Provider Details

I. General information

NPI: 1952067662
Provider Name (Legal Business Name): MIKA LYNN ZEERYP FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2021
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 N 4TH ST
CLINTON IA
52732-2940
US

IV. Provider business mailing address

1410 N 4TH ST
CLINTON IA
52732-2940
US

V. Phone/Fax

Practice location:
  • Phone: 563-244-5900
  • Fax:
Mailing address:
  • Phone: 563-244-5900
  • Fax: 563-244-2801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA189850
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: