Individual
KAIA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1609 CEDAR ST, MUSCATINE, IA 52761-3426
(563) 263-0122
(563) 263-0520
Mailing address
1019 SUNRISE CIR, MUSCATINE, IA 52761-3628
(563) 263-1326
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F-067497
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22599
BLUE CROSS BLUE SHEILD
IA
Enumeration date
02/02/2007
Last updated
11/06/2017
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