Skip to Main Content


Provider Photoshop Pic

Residency: St. Vincent Hospital in Worcester, MA

Medical Degree: University of Santo Tomas Faculty Of Medicine And Surgery, Philippines.

Certification: Fellow in the American Board of Internal Medicine

Learn More

Dale Nystrom, M.D.

Hawardenregional 8

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

Learn More

Amy Waterman, CNP

Amy Test 4

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

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

Certification: American Nurses Credentialing Center (ANCC)

Learn More

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

Learn More


Karen Kennedy, A.R.N.P.

Hawardenregional 13

Bachelor’s Degree: University of Texas

Nurse Practitioner Degree: Walden University

Certification: ANCC

Learn More

Akron Clinic 

Denise Hanisch, M.D. 

Dr Hanisch


Medical Degree:  

Undergraduate Degree: 


Paul Niles, PA-C

Hawardenregionalhealthcare 25

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 

Learn More

Jennifer Milby, FNP-C

Hawardenregionalhealthcare 21

Bachelor’s Degree: Briar Cliff University

Master's Degree: Briar Cliff University

Nurse Practitioner Certification: American Academy of Nurse Practitioners--Board Certified Family Practice Nurse Practitioner  

Additional Certification: Board Certified in Infection Prevention & Control

Learn More


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