Individual provider · Type 1 NPI

Allyson Rae Landphair, ARNP

Nurse Practitioner · Waterloo, IA

NPI number 1902859804 Active

Practice location

1753 W Ridgeway Ave Ste 111
Waterloo, IA 50701-4588

Fax (319) 233-2164

Mailing address

PO Box 2660
Waterloo, IA 50704-2660

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XA095751 (IA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1902859804

Allyson Rae Landphair, ARNP's National Provider Identifier is 1902859804, issued on May 19, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Waterloo, IA. The record was last updated on Apr 16, 2026.