Individual
SUSAN L PEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
88 PAINE CIR STE 4, BONDURANT, IA 50035-1449
(515) 348-6383
Mailing address
601 MALLARD POINTE DR NW, BONDURANT, IA 50035-1348
(515) 205-4571
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A099502
IA
207Q00000X
Family Medicine Physician
A099502
IA
363LF0000X
Family Nurse Practitioner
A099502
IA
Other
Enumeration date
06/07/2018
Last updated
08/05/2024
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