Healthcare Provider Details

I. General information

NPI: 1720084387
Provider Name (Legal Business Name): LINDA KAY GEHRKE ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 06/27/2024
Certification Date: 06/27/2024
Deactivation Date: 07/17/2007
Reactivation Date: 12/04/2007

III. Provider practice location address

405 S STATE STREET HUBBARD MEDICAL CLINIC
HUBBARD IA
50122-0487
US

IV. Provider business mailing address

PO BOX 487
HUBBARD IA
50122-0487
US

V. Phone/Fax

Practice location:
  • Phone: 641-864-3301
  • Fax: 641-864-3304
Mailing address:
  • Phone: 641-864-3301
  • Fax: 641-864-3304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number036438
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: