IndividualActive
Kevin Dirksen, ARNP
NPI 1063992857 · Acute Care Nurse Practitioner · Waterloo, IA
Provider details
- NPI number
- 1063992857
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP
- Sex
- Male
- Sole proprietor
- No
- License
- 6124 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3421 W 9th St
Waterloo, IA 50702-5401
Phone: (757) 561-4487
Approximate (ZIP-level) locationGet directions
Mailing address
3421 W 9th St
Waterloo, IA 50702-5401
Registry dates
- Enumerated
- 2018-08-21
- Last updated
- 2020-10-20
- Certified
- 2020-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.