Amend, Mary Ann

Amend, Mary Ann is an individual health care provider with primary practice located at 146 W Dale St Ste 201 , Waterloo IA 50703-1901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Amend, Mary Ann can be contacted via phone (319) 226-9888.

Contact Information

Primary practice address
146 W Dale St Ste 201 Waterloo IA 50703-1901
Phone: (319) 226-9888
Fax: (319) 226-9889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 074072 Iowa

Profile Details

NPI number 1659312254
LBN Legal business name Amend, Mary Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Aug 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659312254 NPPES
Iowa MEDICAID 1659312254

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