Wellformed AI

NPI 1194704791 · live from the CMS NPI Registry

Michele Ann Ganshirt, A.R.N.P.

Nurse Practitioner, Pediatrics in Dubuque, IA. National Provider Identifier 1194704791, active.

NPI record

NPI1194704791 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location1690 Elm St Ste 300, Dubuque, IA 52001
Practice phone563-690-2850
Mailing address1500 Delhi St Ste 3500, Dubuque, IA 52001
EnumeratedJanuary 11, 2006
Last updatedJune 2, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics primary363LP0200XC074700 (IA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.