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Dale Nystrom, M.D.

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Residency: University of Michigan in Kalamazoo and University of Iowa’s Siouxland Medical Education Foundation in Sioux City.

Medical Degree: University of Minnesota, Minneapolis, MN.

Certification: Fellow in the American Board of Family Medicine

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Amy Waterman, CNP

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Bachelor's Degree: Pittsburg State University, Pittsburg, KS

Nurse Practitioner Degree: South Dakota State University, Brookings, SD

Certification: American Nurses Credentialing Center (ANCC)

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Cindi Rule, A.R.N.P.


Bachelor’s Degree: University of Iowa, Iowa City, IA

Nurse Practitioner Degree: South Dakota State University, Brookings, SD

Certification: ANCC

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Karen Kennedy, A.R.N.P.

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Bachelor’s Degree: University of Texas

Nurse Practitioner Degree: Walden University

Certification: ANCC

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Akron Clinic 

Kelly Pomerenke, M.D.

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Residency: University of Iowa (Siouxland Medical Education Foundation)

Medical Degree: University of South Dakota Sandford School of Medicine 

Undergraduate Degree: University of South Dakota

Certification: American Academy of Family Medicine

Paul Niles, PA-C

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Master's Degree: University of South Dakota

Undergraduate Degree: Morningside College

Physician Assisant in the Iowa Air National Guard 185th Air Refueling Wing in Sioux City, IA 

Jennifer Milby, FNP-C

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Bachelor’s Degree: Briar Cliff University

Master's Degree: Briar Cliff University

Nurse Practitioner Degree: 



Hawarden Clinic Hours of Operation

Monday and Thursday---8:00am-6:00pm

Tuesday, Wednesday and Friday--- 8:00am-5:00pm



Ireton Clinic Hours of Operation

Monday, Wednesday, and Friday---9:00am-1:00pm

Tuesday and Thursday---9:00am-4:00pm


Akron Clinic Hours of Operation

Monday - Friday --- 8:00am - 5:00pm 


To schedule an appointment please call:

Hawarden Clinic (712) 551-3400

Ireton Clinic (712) 278-1011

Akron Clinic (712) 568-2411