Healthcare Provider Details

I. General information

NPI: 1619471646
Provider Name (Legal Business Name): DANA P URBANSKI AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2018
Last Update Date: 03/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 HAWKINS DRIVE
IOWA CITY IA
52242
US

IV. Provider business mailing address

250 HAWKINS DR
IOWA CITY IA
52242-1025
US

V. Phone/Fax

Practice location:
  • Phone: 319-335-8703
  • Fax: 319-335-8851
Mailing address:
  • Phone: 319-335-8703
  • Fax: 319-335-8851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number091029
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: