State University of Iowa

Organization Pediatric Registered Nurse · NPI 1225177579

State University of Iowa provides Pediatric Registered Nurse services in Council Bluffs, Iowa. Registered with an NPI since 2007.

In the registry since: 2007

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Practice location Address checks out

3501 Harry Langdon Blvd Ste 1450 Child Health Specialty Clinics
Council Bluffs, IA 51503-7837 Not confirmed with CMS for 14 years — call before visiting
Phone: (712) 309-0041
Fax: (712) 309-0044

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Registered Nurse (primary)	Taxonomy 163WP0200X

Record details

NPI number	1225177579
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Philip Roudabush — Director, Patient Financial Service · (319) 384-2334
Other names	Chsc Ped Screening Center
NPI enumerated	February 5, 2007
Last updated in NPPES	March 1, 2012
Mailing address	100 Hawkins Drive, Child Health Specialty Clinics, Iowa City, IA 52242