Healthcare Provider Details

I. General information

NPI: 1972230860
Provider Name (Legal Business Name): COURTNEY STONSKAS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2022
Last Update Date: 04/27/2023
Certification Date: 04/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 W KIMBERLY RD
DAVENPORT IA
52806-3059
US

IV. Provider business mailing address

209 S PARKVIEW DR
ELDRIDGE IA
52748-9511
US

V. Phone/Fax

Practice location:
  • Phone: 563-421-3800
  • Fax:
Mailing address:
  • Phone: 563-210-6426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA170231
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: