| Miranda Carlson, | |
|
200 Hawkins Dr, Iowa City, IA 52242-1009 | |
| (319) 356-0748 | |
| (319) 356-3900 |
| Full Name | Miranda Carlson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 200 Hawkins Dr, Iowa City, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447858634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | C161064 (Iowa) | Primary |
| Entity Name | Trinity Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073594156 PECOS PAC ID: 7315858529 Enrollment ID: O20031204000921 |
| Entity Name | Central Iowa Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104879576 PECOS PAC ID: 1052229275 Enrollment ID: O20040128001102 |
| Mailing Address | Practice Location Address |
|---|---|
| Miranda Carlson, 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: () - | Miranda Carlson, 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 356-0748 |
Renee Gullickson, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 221 E College St, #211, Iowa City, IA 52240 Phone: 319-337-3313 | |
Dr. Daniel Timothy Holthaus, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1403 Mckinley Pl, Iowa City, IA 52246 Phone: 563-379-2100 | |
Bobbi J Jones, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2421 Fax: 319-356-3900 | |
Riley Burgart, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-384-9979 Fax: 319-353-8073 | |
Barbara A Gronstal, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Hawkins Dr, Iowa City, IA 52242 Phone: 319-356-2888 Fax: 319-353-8707 | |
Mrs. Connie Ann Shaw, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Highway 6 W, Iowa City, IA 52246 Phone: 319-338-0581 Fax: 319-887-4920 | |
Mrs. Susan Renee Scott, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2941 Sierra Ct Sw, Iowa City, IA 52240 Phone: 319-337-7642 Fax: 319-339-1449 |