Doctor Name: | LINDSEY RENEE DUTLER |
NPI Number: | 1013207778 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 111236 |
Business Practice Address: | 309 Cook St Sioux City, IA - 511033707 |
Business Phone Number: | 7122247223 |
Business Fax Number: | |
Mailing Address: | 309 Cook St, SIOUX CITY |
State: | IA |
Postal Code: | 511033707 |
Phone Number: | 7122247223 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2011 |
NPI Last Update Date: | 09/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 111236 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |