| Organization Name: | SOUTHEAST IOWA FAMILY PRACTICE OF SIGOURNEY LLC |
| NPI Number: | 1033492541 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SONYA J MURPHY (CO-OWNER) |
| Mailing Address: | 23019 Highway 149 Lowr Level Sigourney |
| State: | IA US |
| Postal Code: | 525918341 |
| Phone Number: | 6416221170 |
| Fax Number: | 6416221179 |
| NPI Enumeration Date: | 09/21/2011 |
| NPI Last Update Date: | 01/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A-104668 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |