Individual
TONJA S PETERSEN - ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1351 W MAIN ST, LAKE CITY, IA 51449-1585
(712) 464-7907
(712) 464-7412
Mailing address
1351 W MAIN ST, PO BOX 114, LAKE CITY, IA 51449-1585
(712) 464-7907
(712) 464-7412
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A097418
IA
Other
Enumeration date
02/02/2006
Last updated
09/10/2015
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