Wanfalt, Dawn Renee

Wanfalt, Dawn Renee is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Wanfalt, Dawn Renee can be contacted via phone (319) 356-2296.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Phone: (319) 356-2296
Fax: (319) 356-4855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 085842 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X K085842 Iowa

Profile Details

NPI number 1134325764
LBN Legal business name Wanfalt, Dawn Renee
Credentials ARNP, NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated Aug 26th, 2013 - about 11 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 1134325764 NPPES
Iowa Other 70099 WELLMARK BCBS

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