Organization Name: | BILLY J ALDERTON WOMENS HEALTH PRACTICE LLC |
NPI Number: | 1407139793 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BILLY ALDERTON (ARNP) |
Mailing Address: | 1603 Morgan St Keokuk |
State: | IA US |
Postal Code: | 526323430 |
Phone Number: | 3195244300 |
Fax Number: | 3195245396 |
NPI Enumeration Date: | 09/22/2011 |
NPI Last Update Date: | 09/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SW0102X |
License Number: | 097652 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |