Doctor Name: | MRS. DEBRA MARIE ZOBEL UDEN |
NPI Number: | 1285634279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP, CPNP |
License Number: | C092639 |
Business Practice Address: | 2001 Ashlynd Dr Coralville, IA - 522419704 |
Business Phone Number: | 3193387042 |
Business Fax Number: | |
Mailing Address: | 2001 Ashlynd Dr, CORALVILLE |
State: | IA |
Postal Code: | 522419704 |
Phone Number: | 3193387042 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | C092639 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |