Jonathon Hennings Valid NPI

Individual provider · Nurse Practitioner · Waterloo, IA

NPI

1376777383

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

A-114650 (IA)

Sex

Male

Sole proprietor

No

Enumerated

2009-05-05

Last updated

2022-02-07