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General NPI Number Information
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NPI Number | 1114682705
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Entity Type | Individual
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Provider Name | PAULA MARIE FERRING PMHNP
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Gender | Female
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Dates
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Enumeration Date | 11/08/2021
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 1340 BLAIRS FERRY RD
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City | HIAWATHA
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State | IA
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Zip | 52233-1900
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Country | US
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Telephone | 319-398-6575
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Fax |
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Provider Business Mailing Address
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Address Line | 1555 PARKER CT
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City | NORTH LIBERTY
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State | IA
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Zip | 52317-1202
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Country | US
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Telephone | 563-543-8901
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | G166017
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 131443
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License Number State | IA
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