Individual
NICOLE ELIZABETH PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1646 305TH ST, TAMA, IA 52339-9698
(641) 484-4094
Mailing address
1646 305TH ST, TAMA, IA 52339-9698
(641) 484-4094
(641) 484-2432
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
J-115527
IA
Other
Enumeration date
04/20/2009
Last updated
01/28/2019
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