Basic Information
| Provider Information | |||||||||
| NPI: | 1366014698 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OHRT | ||||||||
| FirstName: | DEBBIE | ||||||||
| MiddleName: | KAY | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 505 3RD ST | ||||||||
| Address2: | |||||||||
| City: | MARION | ||||||||
| State: | IA | ||||||||
| PostalCode: | 523023234 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3195965591 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1225 S GEAR AVE STE 153 | ||||||||
| Address2: | |||||||||
| City: | WEST BURLINGTON | ||||||||
| State: | IA | ||||||||
| PostalCode: | 526551686 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3197544400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/15/2021 | ||||||||
| LastUpdateDate: | 07/15/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | A164639 | IA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.