Healthcare Provider Details

I. General information

NPI: 1700173028
Provider Name (Legal Business Name): KATHY ANN BELL-MAHLER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2011
Last Update Date: 06/03/2022
Certification Date: 06/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3421 W 9TH ST
WATERLOO IA
50702-5401
US

IV. Provider business mailing address

418 WALNUT ST PO BOX 211
ALLISON IA
50602-9388
US

V. Phone/Fax

Practice location:
  • Phone: 319-272-8000
  • Fax:
Mailing address:
  • Phone: 319-267-2529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberL-085100
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: