Provider Demographics
NPI:1154779361
Name:PREGON, ELAYNE JANETTE (MSN ARNP FNP-C)
Entity type:Individual
Prefix:
First Name:ELAYNE
Middle Name:JANETTE
Last Name:PREGON
Suffix:
Gender:
Credentials:MSN ARNP FNP-C
Other - Prefix:
Other - First Name:ELAYNE
Other - Middle Name:JANETTE
Other - Last Name:GUSTOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-384-7070
Mailing Address - Fax:319-356-4705
Practice Address - Street 1:2701 PRAIRIE MEADOW DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-8001
Practice Address - Country:US
Practice Address - Phone:319-384-7070
Practice Address - Fax:319-356-4705
Is Sole Proprietor?:No
Enumeration Date:2016-05-27
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA129054363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily