Individual
MARY MAKENNA PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1000 W LINCOLN WAY, JEFFERSON, IA 50129-1645
(515) 386-0500
Mailing address
1000 W LINCOLN WAY, JEFFERSON, IA 50129-1645
(515) 386-0500
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
A165415
IA
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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