Individual
DANELLE CATHERINE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1288 VALLEY VIEW DR, COUNCIL BLUFFS, IA 51503-5245
(712) 328-8800
(712) 328-8461
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
073995
IA
363A00000X
Physician Assistant
1463
NE
Other
Enumeration date
09/22/2009
Last updated
12/16/2019
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