Healthcare Provider Details

I. General information

NPI: 1649671207
Provider Name (Legal Business Name): RYLEA JANE MORGAN KOS ANDERSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2014
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 N GRANDVIEW AVE
DUBUQUE IA
52001-6388
US

IV. Provider business mailing address

1302 CHESTNUT ST
ATLANTIC IA
50022-2238
US

V. Phone/Fax

Practice location:
  • Phone: 563-582-1881
  • Fax:
Mailing address:
  • Phone: 402-320-9092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number116117
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number95001298
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberK156475
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: