| Doctor Name: | ANISSA J IRLMEIER |
| NPI Number: | 1174519763 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A.-C |
| License Number: | 00968 |
| Business Practice Address: | 515 Pacific Ave Suite 2 Audubon, IA - 500251056 |
| Business Phone Number: | 7125634611 |
| Business Fax Number: | 7125632498 |
| Mailing Address: | 515 Pacific Ave, AUDUBON |
| State: | IA |
| Postal Code: | 500251056 |
| Phone Number: | 7125634611 |
| Fax Number: | 7125632498 |
| NPI Enumeration Date: | 09/20/2005 |
| NPI Last Update Date: | 08/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 00968 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |