Individual
RITA PETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
809 ELM ST, MISSOURI VALLEY, IA 51555-1140
(712) 642-2794
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
(402) 717-4377
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
101382
IA
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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