Provider Demographics
NPI:1679176218
Name:PLETCHER, NINA C (ARNP)
Entity Type:Individual
Prefix:
First Name:NINA
Middle Name:C
Last Name:PLETCHER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:NINA
Other - Middle Name:C
Other - Last Name:LAROE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-2229
Mailing Address - Fax:319-384-7452
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-2229
Practice Address - Fax:319-384-7452
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAC160881363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics