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NPI Code Detail

MEDICARE: MRS. ERIN LYNNE REWERTS ARNP

MEDICARE:  MRS. ERIN LYNNE REWERTS  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerA158112IA

General Provider Information

NPI Number : 1083248256
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ERIN LYNNE REWERTS ARNP
Provider Business Mailing Address
First Line : 505 CEDAR ST
Second Line :
City : SLATER
State : IA
Zip : 50244-9716
Country : US
Telephone Number : 515-350-3178
Fax Number :
Provider Business Practice Location Address
First Line : 505 CEDAR ST
Second Line :
City : SLATER
State : IA
Zip : 50244-9716
Country : US
Telephone Number : 515-350-3178
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2020
Last Update Date : 02/26/2020

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Directions to “ MRS. ERIN LYNNE REWERTS ARNP” Practice Location

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