Most Relevant Information
Provider Data
| NPI Number: | 1003291501 |
| Provider Name: | RENEE GULLICKSON ARNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | A126328 |
Most Important Dates
| Enumeration Date: | 07/25/2015 |
| Last Updated: | 07/25/2015 |
Provider Practice Location
221 E COLLEGE ST
#211
IOWA CITY
IA
522401699
Practice Location Phone/Fax
| Phone: | 3193373313 |
| Fax: |
Provider Mailing Location
221 E COLLEGE ST
#211
IOWA CITY
IA
522401699
Provider Mailing Phone/Fax
| Phone: | 3193373313 |
| Fax: |