Individual
AMY SUZETTE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1501 E 10TH ST, ATLANTIC, IA 50022-1936
(712) 243-2850
Mailing address
1501 E 10TH ST, ATLANTIC, IA 50022-1936
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
094183
IA
363L00000X
Nurse Practitioner
305229
AZ
363LF0000X
Family Nurse Practitioner
Primary
A161458
IA
Other
Enumeration date
09/10/2020
Last updated
04/04/2025
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