STEPHANIE GUDENKAUF


Address: 709 W Main St, Manchester, IA 52057-1526
Phone: 5639277777

STEPHANIE GUDENKAUF (NPI# 1659800480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659800480
Entity Type Individual
Full Name STEPHANIE GUDENKAUF
Credential NP
Practice Address 709 W Main St
Manchester
IA 52057-1526
Mailing Address Po Box 359
Manchester
IA 52057-0359
Practice Telephone 5639277777
Enumeration Date 2017-06-06
Last Update Date 2020-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F06170003 IA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 709 W MAIN ST
City MANCHESTER
State IA
Zip Code 52057-1526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255339800 C. Dan Meyer Physician Assistant 709 W Main St, Manchester, IA 52057-1526 2005-07-08
1407454044 Derek Manson Dzaboff Nurse Practitioner 709 W Main St, Manchester, IA 52057-1526 2020-10-15
1063033413 Nicole Brehm Social Worker 709 W Main St, Manchester, IA 52057-1526 2020-04-27
1225666894 Kaitlin Rose Reece Nurse Practitioner 709 W Main St, Manchester, IA 52057-1526 2020-03-30
1083105779 Cedar Valley Medical Specialists PC Durable Medical Equipment & Medical Supplies 709 W Main St, Manchester, IA 52057-1526 2018-05-29
1609306398 Cara Paris Nurse Practitioner 709 W Main St, Manchester, IA 52057-1526 2017-06-14
1114456308 Jodi Helle Nurse Practitioner 709 W Main St, Manchester, IA 52057-1526 2017-06-09
1124552591 Molly Olson Family Medicine 709 W Main St, Manchester, IA 52057-1526 2017-04-12
1548615206 Joshua C Mann Physician Assistant 709 W Main St, Manchester, IA 52057-1526 2016-05-02
1871955435 Mark Richard Bennett Jr. Nurse Anesthetist, Certified Registered 709 W Main St, Manchester, IA 52057-1526 2016-03-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407386246 Jennifer Ann Hentges Social Worker 118 West Main Professional Park Building, Manchester, IA 52057 2017-06-14
1588193940 Lucas Richard Fangmann Physical Therapist 313 Quaker Mill Dr, Manchester, IA 52057 2017-06-08
1164835138 Amanda Sue Olberding Family Medicine 709 West Main St, Manchester, IA 52057 2014-06-08
1215072723 Delaware County Community Services Case Management 601 Grant St, Manchester, IA 52057 2007-02-21
1841212966 Kallenbach Drug Inc Pharmacy 111 S Franklin St, Manchester, IA 52057 2006-07-25
1336105030 David L James Chiropractor 200 N Franklin, Manchester, IA 52057 2006-04-22
1770551814 Jason N Nolz Chiropractor 953 E Main, Manchester, IA 52057 2006-03-14
1538140405 Thomas Joseph Kafka Emergency Medicine Regional Medical Center, 709 West Main St., Manchester, IA 52057 2005-11-08
1255818878 Melissa Wessels Chiropractor 105 E Butler St, Manchester, IA 52057 2018-07-26
1609149749 Kallenbach Drug Inc Pharmacy 111 S Franklin St, Manchester, IA 52057 2012-02-21
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316553233 Anylen Ruiz Ayala Nurse Practitioner 109 W Center St, Manchester, CT 06040-4917 2020-09-16
1497368146 Sarah Kuzara Nurse Practitioner 1069 Big Bend Crossing Dr, Manchester, MO 63088-1296 2020-08-24
1265068910 Katelyn Denise Walker Nurse Practitioner 306 Boone Dr, Manchester, TN 37355-7820 2020-03-13
1780219659 Ashlynn Fogg Nurse Practitioner 1750 Elm St Ste 201a, Manchester, NH 03104-2903 2020-03-11
1922669357 Heather Rogers Hansen Nurse Practitioner 1279 S Willow St Ste E, Manchester, NH 03103-4015 2019-06-26
1619433802 Samantha Ashley Case Nurse Practitioner 635 Clay St Fl 1, Manchester, NH 03103-4507 2019-02-13
1538640420 Isaac Okyere Ampofo Nurse Practitioner 629 Middle Turnpike East, Manchester, CT 06040-3571 2018-08-28
1730675562 Hannah E Boutselis Nurse Practitioner 1750 Elm St., Suite 201a, Manchester, NH 03104 2018-07-04
1952817371 Rodrick Emmanuel Thomas Nurse Practitioner 553 S Commercial St Apt 309, Manchester, NH 03101-2749 2017-12-20
1063950160 Kacy Mikala Kirk Nurse Practitioner 183 Roberts Creek Cir, Manchester, TN 37355-3690 2017-02-08
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Competitor

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City MANCHESTER
Zip Code 52057

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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