Provider Demographics
NPI:1689345670
Name:CETTA, GINA M (ARNP)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:M
Last Name:CETTA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
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:319-337-3193
Mailing Address - Fax:319-545-4570
Practice Address - Street 1:2769 HEARTLAND DR STE 201
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-2732
Practice Address - Country:US
Practice Address - Phone:319-337-3193
Practice Address - Fax:319-545-4570
Is Sole Proprietor?:No
Enumeration Date:2021-09-21
Last Update Date:2024-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IAF161057363LW0102X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health