SearchIowa224900000X

Renee Carlson

NPI 1659923654 · on the registry since 2019

Practice

Address
111 E Water St
Decorah, IA 52101
Phone
(563) 382-6212
Fax
(563) 382-6420
Organisation at this address
Revelation Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
224900000X
224900000X
Also registered as
224900000X
Licence states on file
IA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-07-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa