Healthcare Provider Details

I. General information

NPI: 1285548842
Provider Name (Legal Business Name): EMILY L UNDERWOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 S GEAR AVE
WEST BURLINGTON IA
52655-1681
US

IV. Provider business mailing address

502 S MARION AVE
WASHINGTON IA
52353-1427
US

V. Phone/Fax

Practice location:
  • Phone: 319-768-1000
  • Fax: 319-768-3266
Mailing address:
  • Phone: 319-768-1000
  • Fax: 319-768-3266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberH194342
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: