Healthcare Provider Details

I. General information

NPI: 1477882439
Provider Name (Legal Business Name): EILEEN FRANCES YEISLEY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2009
Last Update Date: 04/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWKINS DR
IOWA CITY IA
52242-1007
US

IV. Provider business mailing address

200 HAWKINS DRIVE 4041-2 RCP
IOWA CITY IA
52242-1081
US

V. Phone/Fax

Practice location:
  • Phone: 319-353-8883
  • Fax: 319-384-5096
Mailing address:
  • Phone: 319-353-8883
  • Fax: 319-384-5096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberH074077
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: