Healthcare Provider Details

I. General information

NPI: 1538945621
Provider Name (Legal Business Name): MADELYNN ROSE DICKINSON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2023
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 8TH AVE UNIT 3
WELLMAN IA
52356-4708
US

IV. Provider business mailing address

1628 DOGWOOD AVE
WELLMAN IA
52356-9611
US

V. Phone/Fax

Practice location:
  • Phone: 319-646-6100
  • Fax:
Mailing address:
  • Phone: 319-217-3549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA176173
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: