HISTORIC BLUFFS FAMILY PRACTICE CLINIC. PC NPI 1861006645

NPI Information

HISTORIC BLUFFS FAMILY PRACTICE CLINIC., PC is a family nurse practitioner in Dubuque, IA. HISTORIC BLUFFS FAMILY PRACTICE CLINIC., PC NPI is 1861006645. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

666 LORAS BLVD
DUBUQUE, IA
ZIP 52001-233
Phone: (563) 213-1576

The provider's authorized official is Brenda Husemann .
The authorized official title is Arnp and has the following contact phone number (563) 213-1576.

The CLIA number assigned to this NPI record is 16D2220857 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2020 and was last updated on 10/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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