Healthcare Provider Details

I. General information

NPI: 1285405563
Provider Name (Legal Business Name): NICOLE KUHSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2024
Last Update Date: 01/15/2024
Certification Date: 01/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E MARKET ST
IOWA CITY IA
52245-2633
US

IV. Provider business mailing address

500 E MARKET ST
IOWA CITY IA
52245-2633
US

V. Phone/Fax

Practice location:
  • Phone: 319-339-3975
  • Fax:
Mailing address:
  • Phone: 319-339-3975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-313994
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: