ARNP Misty D Wahab, NPI 1861929168
Family Nurse Practitioner in Council Bluffs, IA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1861929168
NPI Entity Type Individual
Provider Name ARNP Misty D Wahab
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 933 E Pierce St, Council Bluffs, IA, US
Provider Mailing Address Po Box 3755, Omaha, NE, US, 681030755
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

363LF0000X

Taxonomy Name Family Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. A107947
License State IA
Description Definition to come...

Other Name

Misty D. Stephens
Former Name

Business Address

ARNP Misty D Wahab
933 E Pierce St

Council Bluffs, IA, US

Phone: 712-396-4360
Fax: 712-396-7069

Mailing Address

ARNP Misty D Wahab
Po Box 3755
Omaha, NE, US
ZIP 681030755
Phone: 402-354-2100
Fax: 402-354-6171

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1861929168 IA MEDICAID 05
10026327300 NE MEDICAID 05

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Organization

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DR. M.D. Jorge H Perez-cardona

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