Individual
ABBY PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
180 10TH ST SE STE 201, LE MARS, IA 51031-2557
(712) 546-4624
(712) 546-9395
Mailing address
745 GLEN DR, MOVILLE, IA 51039-7516
(712) 870-1745
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
169768
IA
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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